"HCPCS","Source","Category","CMS Code","Description","Unit","Price","NF Quantity","F Quantity","Global","Reference Code","RUC Meeting","RUC Tab"
"00100","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00102","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00103","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00104","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Feb05",
"00120","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00124","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Feb05",
"00126","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00140","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00142","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00144","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00145","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00147","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00148","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00160","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00162","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00164","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00170","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00172","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00174","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00176","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00190","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00192","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00210","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00211","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","1"
"00212","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00214","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00215","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00216","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00218","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00220","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00222","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00300","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00320","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00322","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00326","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00350","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00352","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00400","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00402","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00404","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00406","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00410","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00450","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00452","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00454","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00470","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00472","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00474","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00500","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00520","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00522","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00524","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00528","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00529","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00530","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00532","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00534","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00537","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00539","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00540","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00541","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00542","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00546","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00548","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00550","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00560","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00561","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00562","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00563","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00566","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00567","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","2"
"00580","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00600","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00604","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00620","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00622","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00625","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"00626","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"00630","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00632","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00634","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00635","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00640","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00670","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00700","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00702","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00730","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00740","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00750","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00752","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00754","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00756","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00770","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00790","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00792","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00794","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00796","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00797","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00800","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00802","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00810","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00820","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00830","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00832","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00834","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00836","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00840","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00842","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00844","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00846","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00848","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00851","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00860","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00862","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00864","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00865","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00866","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00868","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00870","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00872","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00873","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00880","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00882","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00902","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00904","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00906","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00908","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00910","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00912","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00914","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00916","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00918","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00920","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00921","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00922","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00924","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00926","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00928","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00930","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00932","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00934","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00936","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00938","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00940","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00942","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00944","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00948","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00950","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"00952","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01112","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01120","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01130","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01140","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01150","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01160","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01170","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01173","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01180","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01190","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01200","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01202","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01210","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01212","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01214","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01215","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01220","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01230","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01232","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01234","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01250","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01260","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01270","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01272","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01274","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01320","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01340","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01360","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01380","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01382","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01390","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01392","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01400","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01402","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01404","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01420","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01430","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01432","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01440","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01442","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01444","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01462","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01464","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01470","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01472","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01474","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01480","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01482","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01484","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01486","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01490","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01500","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01502","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01520","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01522","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01610","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01620","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01622","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01630","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01634","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01636","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01638","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01650","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01652","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01654","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01656","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01670","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01680","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01682","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01710","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01712","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01714","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01716","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01730","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01732","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01740","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01742","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01744","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01756","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01758","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01760","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01770","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01772","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01780","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01782","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01810","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01820","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01829","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01830","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01832","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01840","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01842","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01844","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01850","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01852","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01860","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01916","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01920","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01922","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01924","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01925","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01926","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01930","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01931","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01932","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01933","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01935","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01936","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"01951","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01952","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01953","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01958","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01960","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01961","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01962","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01963","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01967","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01968","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01969","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01990","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01991","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01992","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01996","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"01999","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"10021","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX","88170",,
"10021","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,"XXX","88170",,
"10021","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,2.00,,"XXX","88170",,
"10021","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,,"XXX","88170",,
"10021","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"XXX","88170",,
"10021","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","88170",,
"10021","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"XXX","88170",,
"10021","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX","88170",,
"10021","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,5.00,,"XXX","88170",,
"10021","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX","88170",,
"10021","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","88170",,
"10021","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX","88170",,
"10021","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"XXX","88170",,
"10021","RUC","Lab","SL071","fixative spray","ml",0.04,0.20,,"XXX","88170",,
"10021","RUC","Lab","SL120","slide container (for 20 microscope slides)","item",6.65,2.00,,"XXX","88170",,
"10022","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,,"XXX","88171",,
"10022","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX","88171",,
"10022","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","88171",,
"10022","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"XXX","88171",,
"10022","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","88171",,
"10022","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,2.00,,"XXX","88171",,
"10022","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX","88171",,
"10022","RUC","Hypodermic, IV","SC035","needle, Chiba","item",8.47,2.00,,"XXX","88171",,
"10022","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"XXX","88171",,
"10022","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"XXX","88171",,
"10022","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX","88171",,
"10022","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","88171",,
"10022","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX","88171",,
"10040","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"010",,,
"10040","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,,
"10040","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,14.00,0.00,"010",,,
"10040","PEAC","Cutters, Closures, Cautery","SF022","comedone extractor","item",3.00,1.00,0.00,"010",,,
"10040","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"10040","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,5.00,4.00,"010",,,
"10040","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"10040","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"10040","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"10060","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"10060","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,,
"10060","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"10060","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,,
"10060","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"10060","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"010",,,
"10060","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"10060","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,1.00,"010",,,
"10060","PEAC","Wound Care, Dressings","SG034","dressing, 3in x 3in (Adaptic)","item",0.51,1.00,0.00,"010",,,
"10060","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,10.00,6.00,"010",,,
"10060","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,,
"10060","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,,
"10060","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,10.00,"010",,,
"10060","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,10.00,"010",,,
"10060","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"10061","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","MD Time"
"10061","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"10061","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"10061","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"10061","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"10061","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"10061","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"010",,,
"10061","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"10061","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,1.00,"010",,,
"10061","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,3.00,1.00,"010",,,
"10061","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,1.00,"010",,,
"10061","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"010",,,
"10061","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"010",,,
"10061","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,1.00,"010",,,
"10061","PEAC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,1.00,1.00,"010",,,
"10061","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"10061","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,5.00,"010",,,
"10061","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,3.00,"010",,,
"10061","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"10061","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"010",,,
"10080","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"10080","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"10080","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"10080","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"10080","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"10080","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"10080","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"010",,,
"10080","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"10080","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"10080","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"10080","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"010",,,
"10080","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"010",,,
"10080","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"10080","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"10080","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"10080","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"10080","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"10080","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"10080","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"10080","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"10080","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"10080","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"10080","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"010",,,
"10080","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"10080","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"10080","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,,"010",,,
"10080","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"10080","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"10080","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"10080","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"10081","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"10081","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"10081","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"10081","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"10081","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"10081","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"10081","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"010",,,
"10081","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"10081","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"10081","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"10081","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"010",,,
"10081","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"010",,,
"10081","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"10081","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"10081","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"10081","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"10081","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"10081","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"10081","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"10081","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"10081","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"10081","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"10081","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"10081","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"10081","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"10081","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"10081","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"010",,,
"10081","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"10081","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"10081","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,,"010",,,
"10081","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"10081","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"10081","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"10120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","MD Time"
"10120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","MD Time"
"10120","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"10120","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"10121","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"10121","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Aug03","5"
"10121","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"10140","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"10140","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"10140","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"10160","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"10160","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"10180","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"10180","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"10180","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"10180","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"11000","PEAC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"000",,,
"11000","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"11000","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"11000","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"11000","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"11000","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"11000","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"11000","PEAC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"11000","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11000","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"11000","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"000",,,
"11000","PEAC","Wound Care, Dressings","SG034","dressing, 3in x 3in (Adaptic)","item",0.51,1.00,0.00,"000",,,
"11000","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,3.00,,"000",,,
"11000","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"000",,,
"11000","PEAC","Pharmacy, Rx","SH038","hemostatic solution (Lumicain)","ml",0.13,1.00,,"000",,,
"11000","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,,
"11000","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"11001","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"ZZZ",,,
"11001","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"ZZZ",,,
"11001","PEAC","Wound Care, Dressings","SG034","dressing, 3in x 3in (Adaptic)","item",0.51,1.00,,"ZZZ",,,
"11001","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,3.00,,"ZZZ",,,
"11001","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"ZZZ",,,
"11001","PEAC","Pharmacy, Rx","SH038","hemostatic solution (Lumicain)","ml",0.13,1.00,,"ZZZ",,,
"11001","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"ZZZ",,,
"11001","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"ZZZ",,,
"11004","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"11005","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"11006","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"11008","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"11010","PEAC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"010",,,
"11010","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"010",,,
"11010","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"010",,,
"11010","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"010",,,
"11010","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"11010","PEAC","Gown, Drape","SB013","drape, sterile, hand-upper extremity","item",18.07,1.00,,"010",,,
"11010","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"11010","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"11010","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"11010","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,,"010",,,
"11010","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"010",,,
"11010","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"11010","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"010",,,
"11010","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,2.00,,"010",,,
"11010","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"010",,,
"11010","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"11010","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"11010","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11010","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"11010","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"11010","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11010","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,,"010",,,
"11010","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"010",,,
"11010","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"010",,,
"11010","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"010",,,
"11010","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"010",,,
"11010","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"11010","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"11011","PEAC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"000",,,
"11011","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"000",,,
"11011","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"11011","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,,
"11011","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"11011","PEAC","Gown, Drape","SB013","drape, sterile, hand-upper extremity","item",18.07,1.00,,"000",,,
"11011","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"000",,,
"11011","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"000",,,
"11011","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"000",,,
"11011","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,,"000",,,
"11011","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"11011","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"11011","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000",,,
"11011","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,2.00,,"000",,,
"11011","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"11011","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"11011","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"11011","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"11011","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"11011","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,,
"11011","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"11011","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,,"000",,,
"11011","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,,
"11011","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,,
"11011","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,,
"11011","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"11011","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"11011","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"000",,,
"11012","PEAC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"000",,,
"11012","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"000",,,
"11012","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"11012","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,,
"11012","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"11012","PEAC","Gown, Drape","SB013","drape, sterile, hand-upper extremity","item",18.07,1.00,,"000",,,
"11012","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"000",,,
"11012","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"000",,,
"11012","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"000",,,
"11012","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,,"000",,,
"11012","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"11012","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"11012","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000",,,
"11012","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,2.00,,"000",,,
"11012","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"11012","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"11012","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"11012","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"11012","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"11012","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,,
"11012","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"11012","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,,"000",,,
"11012","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,,
"11012","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,,
"11012","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,,
"11012","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"11012","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"11012","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"000",,,
"11042","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,0.00,"000",,"CPT11","25"
"11042","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,0.00,"000",,"CPT11","25"
"11042","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","25"
"11042","RUC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,72.00,0.00,"000",,"CPT11","25"
"11042","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","25"
"11042","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,10.00,0.00,"000",,"CPT11","25"
"11042","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,"CPT11","25"
"11042","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,3.00,0.00,"000",,"CPT11","25"
"11043","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT11","25"
"11043","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,6.00,0.00,"000",,"CPT11","25"
"11043","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,"CPT11","25"
"11043","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,"CPT11","25"
"11043","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"CPT11","25"
"11043","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,3.00,0.00,"000",,"CPT11","25"
"11044","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT11","25"
"11044","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,6.00,0.00,"000",,"CPT11","25"
"11044","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,"CPT11","25"
"11044","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,"CPT11","25"
"11044","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"CPT11","25"
"11044","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,0.00,"000",,"CPT11","25"
"11045","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"ZZZ",,"CPT11","25"
"11045","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,0.00,"ZZZ",,"CPT11","25"
"11045","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"ZZZ",,"CPT11","25"
"11045","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"ZZZ",,"CPT11","25"
"11045","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"CPT11","25"
"11046","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"ZZZ",,"CPT11","25"
"11046","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"ZZZ",,"CPT11","25"
"11046","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,6.00,0.00,"ZZZ",,"CPT11","25"
"11046","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"CPT11","25"
"11046","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"ZZZ",,"CPT11","25"
"11047","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"ZZZ",,"CPT11","25"
"11047","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"ZZZ",,"CPT11","25"
"11047","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"ZZZ",,"CPT11","25"
"11047","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,6.00,0.00,"ZZZ",,"CPT11","25"
"11047","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"CPT11","25"
"11047","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"ZZZ",,"CPT11","25"
"11055","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"11055","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"11055","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"11055","PEAC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"11055","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11055","PEAC","Accessory, Procedure","SD097","monofilament, sensory testing","item",0.23,1.00,,"000",,,
"11055","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"11055","PEAC","Wound Care, Dressings","SG001","adherent, pre-tape spray","oz",0.76,1.00,,"000",,,
"11055","PEAC","Wound Care, Dressings","SG003","adhesive foam","inch",0.12,4.00,,"000",,,
"11055","PEAC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,6.00,,"000",,,
"11055","PEAC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"000",,,
"11055","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"11056","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"11056","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"11056","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"11056","PEAC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"11056","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11056","PEAC","Accessory, Procedure","SD097","monofilament, sensory testing","item",0.23,1.00,,"000",,,
"11056","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"11056","PEAC","Wound Care, Dressings","SG001","adherent, pre-tape spray","oz",0.76,1.00,,"000",,,
"11056","PEAC","Wound Care, Dressings","SG003","adhesive foam","inch",0.12,6.00,,"000",,,
"11056","PEAC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,6.00,,"000",,,
"11056","PEAC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"000",,,
"11056","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"11057","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"11057","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"11057","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"11057","PEAC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"11057","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11057","PEAC","Accessory, Procedure","SD097","monofilament, sensory testing","item",0.23,1.00,,"000",,,
"11057","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"11057","PEAC","Wound Care, Dressings","SG001","adherent, pre-tape spray","oz",0.76,1.00,,"000",,,
"11057","PEAC","Wound Care, Dressings","SG003","adhesive foam","inch",0.12,8.00,,"000",,,
"11057","PEAC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,6.00,,"000",,,
"11057","PEAC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"000",,,
"11057","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"11100","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,,
"11100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"11100","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"000",,,
"11100","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"11100","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"11100","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,,
"11100","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"000",,,
"11100","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"000",,,
"11100","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,,
"11100","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,,
"11100","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,,
"11100","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,,
"11100","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,,
"11100","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"11100","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"000",,,
"11100","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"000",,,
"11100","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"11100","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"11100","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,,
"11101","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"ZZZ",,,
"11101","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"ZZZ",,,
"11101","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"ZZZ",,,
"11101","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"ZZZ",,,
"11101","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"ZZZ",,,
"11101","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"ZZZ",,,
"11101","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"ZZZ",,,
"11200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11200","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11200","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11200","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"010",,,
"11200","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"010",,,
"11200","PEAC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,5.00,,"010",,,
"11200","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,12.00,,"010",,,
"11200","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"010",,,
"11201","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"11300","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11300","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"CPT13","May 40"
"11300","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,,"000",,"CPT13","May 40"
"11300","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,4.00,,"000",,"CPT13","May 40"
"11300","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11300","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11300","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,2.00,,"000",,"CPT13","May 40"
"11300","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11301","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11301","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 40"
"11301","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,"CPT13","May 40"
"11301","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,8.00,,"000",,"CPT13","May 40"
"11301","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,4.00,,"000",,"CPT13","May 40"
"11301","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11301","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11301","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11301","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,4.00,,"000",,"CPT13","May 40"
"11301","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11302","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT13","May 40"
"11302","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"000",,"CPT13","May 40"
"11302","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,8.00,,"000",,"CPT13","May 40"
"11302","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11302","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11302","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11302","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,6.00,,"000",,"CPT13","May 40"
"11302","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11303","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"000",,"CPT13","May 40"
"11303","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,12.00,,"000",,"CPT13","May 40"
"11303","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,8.00,,"000",,"CPT13","May 40"
"11303","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11303","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11303","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11303","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,8.00,,"000",,"CPT13","May 40"
"11303","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11305","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11305","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"CPT13","May 40"
"11305","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,,"000",,"CPT13","May 40"
"11305","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,4.00,,"000",,"CPT13","May 40"
"11305","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11305","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11305","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11305","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,2.00,,"000",,"CPT13","May 40"
"11305","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11306","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11306","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11306","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 40"
"11306","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,"CPT13","May 40"
"11306","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,8.00,,"000",,"CPT13","May 40"
"11306","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,4.00,,"000",,"CPT13","May 40"
"11306","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11306","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11306","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11306","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,4.00,,"000",,"CPT13","May 40"
"11306","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11307","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11307","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,"CPT13","May 40"
"11307","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT13","May 40"
"11307","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"000",,"CPT13","May 40"
"11307","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,8.00,,"000",,"CPT13","May 40"
"11307","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11307","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11307","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11307","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,6.00,,"000",,"CPT13","May 40"
"11307","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11308","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"000",,"CPT13","May 40"
"11308","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,12.00,,"000",,"CPT13","May 40"
"11308","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,8.00,,"000",,"CPT13","May 40"
"11308","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11308","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11308","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11308","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,8.00,,"000",,"CPT13","May 40"
"11308","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11310","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11310","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"CPT13","May 40"
"11310","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,,"000",,"CPT13","May 40"
"11310","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,4.00,,"000",,"CPT13","May 40"
"11310","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11310","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11310","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11310","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,2.00,,"000",,"CPT13","May 40"
"11310","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11311","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 21"
"11311","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,"CPT13","May 21"
"11311","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"000",,"CPT13","May 21"
"11311","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,,"000",,"CPT13","May 21"
"11311","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 21"
"11312","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT13","May 40"
"11312","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"000",,"CPT13","May 40"
"11312","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,8.00,,"000",,"CPT13","May 40"
"11312","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11312","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11312","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11312","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,6.00,,"000",,"CPT13","May 40"
"11312","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11313","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,4.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"000",,"CPT13","May 40"
"11313","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,12.00,,"000",,"CPT13","May 40"
"11313","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,8.00,,"000",,"CPT13","May 40"
"11313","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 40"
"11313","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 40"
"11313","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 40"
"11313","RUC","Lab","SL463","Aluminum Chloride 70%","ml",0.21,8.00,,"000",,"CPT13","May 40"
"11313","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","May 40"
"11400","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11400","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11400","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11400","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11400","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11400","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11400","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11400","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11400","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11400","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11400","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11400","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11400","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11400","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11400","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11400","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11400","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11400","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11401","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11401","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11401","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11401","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11401","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11401","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11401","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11401","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11401","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11401","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11401","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11401","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11401","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11401","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11401","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11401","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11401","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11401","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11401","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11402","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11402","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11402","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11402","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11402","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11402","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11402","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11402","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11402","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11402","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11402","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11402","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11402","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11402","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11402","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"010",,,
"11402","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11402","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11402","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11402","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11402","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11403","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11403","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11403","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11403","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11403","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11403","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11403","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11403","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11403","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11403","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11403","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11403","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11403","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11403","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11403","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"11403","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11403","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"11403","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11403","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11403","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11404","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11404","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11404","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11404","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11404","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11404","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11404","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11404","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"11404","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11404","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11404","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11404","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11404","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11404","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"010",,,
"11404","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,30.00,,"010",,,
"11404","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11404","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"11404","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11404","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11404","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11406","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11406","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11406","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11406","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11406","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11406","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11406","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11406","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"11406","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11406","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11406","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11406","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11406","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11406","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"010",,,
"11406","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"11406","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11406","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,1.00,"010",,,
"11406","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11406","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11406","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11420","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11420","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11420","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11420","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11420","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11420","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11420","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11420","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11420","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11420","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11420","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11420","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11420","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11420","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11420","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11420","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11420","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11420","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11421","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11421","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11421","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11421","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11421","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11421","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11421","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11421","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11421","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11421","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11421","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11421","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11421","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11421","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11421","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11421","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11421","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11421","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11422","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11422","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11422","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11422","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11422","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11422","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11422","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11422","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11422","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11422","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11422","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11422","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11422","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11422","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11422","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11422","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11422","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11422","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11422","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11423","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11423","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11423","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11423","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11423","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11423","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11423","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11423","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11423","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11423","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11423","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11423","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11423","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11423","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11423","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11423","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11423","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11423","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11423","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11424","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,1.00,"010",,,
"11424","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11424","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11424","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11424","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11424","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11424","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11424","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"11424","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11424","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11424","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11424","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11424","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11424","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"010",,,
"11424","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11424","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11424","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11424","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11424","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11426","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,1.00,"010",,,
"11426","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11426","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11426","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11426","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11426","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11426","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11426","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"11426","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11426","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11426","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11426","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11426","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11426","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"010",,,
"11426","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11426","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11426","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,1.00,"010",,,
"11426","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11426","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11440","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11440","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11440","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11440","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11440","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11440","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11440","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11440","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11440","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11440","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11440","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11440","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11440","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11440","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11440","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11440","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11440","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11440","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11440","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11441","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11441","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11441","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11441","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11441","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11441","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11441","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11441","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11441","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11441","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11441","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11441","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11441","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11441","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11441","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11441","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"010",,,
"11441","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11441","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11441","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11442","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11442","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11442","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11442","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11442","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11442","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11442","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11442","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11442","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11442","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11442","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11442","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11442","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11442","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11442","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"010",,,
"11442","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11442","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"11442","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11442","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11442","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11443","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11443","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11443","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11443","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11443","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11443","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11443","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11443","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11443","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11443","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11443","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11443","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11443","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11443","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11443","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"010",,,
"11443","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11443","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"11443","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11443","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11443","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11444","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,1.00,"010",,,
"11444","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11444","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11444","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11444","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11444","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11444","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11444","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"11444","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11444","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11444","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11444","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11444","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11444","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"010",,,
"11444","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"11444","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11444","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"11444","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11444","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11444","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11446","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,1.00,"010",,,
"11446","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11446","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11446","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11446","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11446","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11446","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11446","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"11446","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"11446","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11446","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11446","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11446","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11446","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"010",,,
"11446","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,30.00,,"010",,,
"11446","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11446","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,1.00,"010",,,
"11446","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11446","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11446","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11450","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11450","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"11450","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11450","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11450","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11450","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11450","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11450","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11450","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11450","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11450","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11450","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11450","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11450","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11450","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11450","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"090",,,
"11450","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11450","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11450","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11450","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11450","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11450","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11451","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11451","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"11451","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11451","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11451","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11451","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11451","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11451","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11451","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11451","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11451","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11451","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11451","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11451","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11451","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11451","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,,"090",,,
"11451","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11451","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11451","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11451","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11451","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11451","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11462","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11462","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"11462","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11462","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11462","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11462","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11462","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11462","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11462","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11462","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11462","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11462","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11462","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11462","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11462","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11462","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"090",,,
"11462","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11462","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11462","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11462","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11462","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11462","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11463","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11463","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"11463","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11463","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11463","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11463","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11463","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11463","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11463","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11463","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11463","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11463","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11463","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11463","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11463","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11463","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,,"090",,,
"11463","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11463","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11463","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11463","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11463","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11463","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11470","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11470","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"11470","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11470","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11470","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11470","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11470","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11470","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11470","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11470","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11470","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11470","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11470","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11470","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11470","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11470","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"090",,,
"11470","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11470","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11470","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11470","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11470","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11470","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11471","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11471","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"11471","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11471","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11471","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11471","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11471","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11471","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11471","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11471","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11471","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11471","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11471","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11471","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11471","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11471","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,,"090",,,
"11471","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11471","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11471","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11471","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11471","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11471","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11600","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11600","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11600","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11600","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11600","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11600","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11600","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11600","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11600","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11600","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11600","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11600","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11600","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11600","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11600","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11600","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11600","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11600","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11600","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11600","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11600","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11600","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11600","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11601","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11601","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11601","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11601","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11601","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11601","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11601","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11601","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11601","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11601","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11601","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11601","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11601","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11601","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11601","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11601","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11601","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11601","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11601","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11601","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11601","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11601","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11601","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11601","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11602","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11602","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11602","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11602","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11602","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11602","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11602","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11602","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11602","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11602","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11602","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11602","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11602","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11602","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11602","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11602","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11602","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11602","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11602","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11602","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11602","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11602","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11602","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11602","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11603","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11603","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11603","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11603","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11603","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11603","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11603","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11603","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11603","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11603","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11603","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11603","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11603","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11603","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11603","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11603","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11603","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11603","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11603","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11603","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11603","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11603","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11603","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11603","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11604","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11604","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11604","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11604","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11604","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11604","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11604","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11604","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11604","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"11604","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11604","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11604","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11604","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11604","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11604","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11604","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11604","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11604","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11604","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11604","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11604","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11604","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11604","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11604","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11606","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11606","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11606","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11606","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11606","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11606","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11606","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11606","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11606","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"11606","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11606","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11606","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11606","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11606","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"010",,,
"11606","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11606","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11606","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11606","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11606","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11606","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11606","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11606","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11606","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11606","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11606","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11620","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11620","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11620","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11620","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11620","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11620","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11620","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11620","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11620","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11620","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11620","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11620","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11620","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11620","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11620","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11620","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11620","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11620","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11620","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11620","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11620","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11620","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11620","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11620","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11621","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11621","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11621","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11621","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11621","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11621","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11621","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11621","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11621","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11621","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11621","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11621","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11621","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11621","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11621","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11621","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11621","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11621","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11621","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11621","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11621","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11621","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11621","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11621","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11622","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11622","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11622","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11622","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11622","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11622","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11622","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11622","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11622","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11622","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11622","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11622","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11622","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11622","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11622","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11622","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11622","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11622","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11622","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11622","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11622","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11622","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11622","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11622","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11623","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11623","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11623","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11623","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11623","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11623","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11623","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11623","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11623","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"11623","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11623","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11623","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11623","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11623","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11623","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11623","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11623","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11623","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11623","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11623","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11623","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11623","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11623","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11623","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11624","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11624","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11624","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11624","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11624","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11624","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11624","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11624","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11624","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"11624","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11624","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11624","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11624","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11624","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"010",,,
"11624","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11624","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11624","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11624","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11624","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11624","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11624","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11624","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11624","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11624","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11626","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11626","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11626","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11626","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11626","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11626","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11626","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11626","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11626","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"11626","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11626","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11626","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11626","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11626","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"010",,,
"11626","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11626","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11626","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11626","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11626","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11626","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11626","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11626","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11626","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11626","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11626","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11640","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11640","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11640","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11640","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11640","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11640","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11640","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11640","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11640","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11640","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11640","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11640","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11640","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11640","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11640","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11640","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11640","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11640","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11640","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11640","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11640","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11640","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11640","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11640","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11641","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11641","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11641","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11641","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11641","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11641","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11641","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11641","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11641","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11641","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11641","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11641","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11641","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11641","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11641","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11641","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11641","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11641","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11641","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11641","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11641","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11641","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11641","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11641","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11642","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11642","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11642","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11642","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11642","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11642","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11642","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11642","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11642","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11642","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11642","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11642","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11642","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11642","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11642","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11642","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11642","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11642","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11642","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11642","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11642","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11642","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11642","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11642","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11643","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11643","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11643","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11643","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11643","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11643","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11643","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11643","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11643","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"11643","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11643","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11643","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11643","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11643","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11643","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11643","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"11643","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"11643","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11643","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11643","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11643","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11643","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11643","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11643","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11644","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11644","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11644","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11644","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11644","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11644","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11644","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11644","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11644","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"11644","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11644","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11644","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11644","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11644","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11644","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11644","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11644","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,2.00,"010",,,
"11644","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11644","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11644","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11644","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11644","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11644","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11644","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11646","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"11646","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11646","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"11646","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"11646","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11646","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11646","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"11646","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"11646","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"11646","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11646","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11646","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"11646","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11646","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11646","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"11646","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"010",,,
"11646","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,2.00,"010",,,
"11646","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11646","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"11646","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"11646","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"11646","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"11646","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"11646","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11719","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,"CPT13","Mar 15"
"11719","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,"CPT13","Mar 15"
"11719","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","Mar 15"
"11719","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"000",,"CPT13","Mar 15"
"11719","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,"CPT13","Mar 15"
"11720","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"11720","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"11720","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"11720","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11720","PEAC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,,"000",,,
"11720","PEAC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"000",,,
"11720","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"11720","PEAC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"000",,,
"11720","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,,
"11720","PEAC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"11720","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"11720","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"11721","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"11721","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"11721","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"11721","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11721","PEAC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,,"000",,,
"11721","PEAC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"000",,,
"11721","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"11721","PEAC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"000",,,
"11721","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,,
"11721","PEAC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"11721","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"11721","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"11730","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"11730","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"11730","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"11730","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"11730","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"000",,,
"11730","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"11730","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"11730","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"000",,,
"11730","PEAC","Wound Care, Dressings","SG034","dressing, 3in x 3in (Adaptic)","item",0.51,1.00,,"000",,,
"11730","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"11730","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"000",,,
"11730","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"000",,,
"11730","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"11730","PEAC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,0.50,,"000",,,
"11730","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,,"000",,,
"11730","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"11730","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"11732","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"ZZZ",,,
"11732","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"ZZZ",,,
"11732","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"ZZZ",,,
"11732","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"ZZZ",,,
"11732","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"ZZZ",,,
"11732","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"ZZZ",,,
"11732","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"ZZZ",,,
"11732","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"ZZZ",,,
"11732","PEAC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,0.50,,"ZZZ",,,
"11732","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,,"ZZZ",,,
"11732","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ",,,
"11740","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Aug03","5"
"11740","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Aug03","5"
"11750","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,,"010",,,
"11750","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,,
"11750","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"11750","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11750","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"11750","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"010",,,
"11750","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11750","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"11750","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"11750","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,3.00,,"010",,,
"11750","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"11750","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,,
"11750","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"010",,,
"11750","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11750","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"11750","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"11750","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11750","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"010",,,
"11750","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,1.00,"010",,,
"11750","PEAC","Wound Care, Dressings","SG034","dressing, 3in x 3in (Adaptic)","item",0.51,1.00,1.00,"010",,,
"11750","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,1.00,"010",,,
"11750","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"11750","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"010","0",,
"11750","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"010",,,
"11750","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"11750","PEAC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,0.50,"010",,,
"11750","PEAC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"010",,,
"11750","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,,"010",,,
"11750","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11750","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"010",,,
"11752","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,,"010",,,
"11752","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,,
"11752","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"11752","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"11752","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"11752","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"010",,,
"11752","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"11752","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"11752","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"11752","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,4.00,,"010",,,
"11752","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"11752","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,,
"11752","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"010",,,
"11752","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"11752","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"11752","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"11752","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11752","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"010",,,
"11752","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,1.00,"010",,,
"11752","PEAC","Wound Care, Dressings","SG034","dressing, 3in x 3in (Adaptic)","item",0.51,1.00,1.00,"010",,,
"11752","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,1.00,"010",,,
"11752","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"11752","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"010","0",,
"11752","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"010",,,
"11752","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"11752","PEAC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,0.50,"010",,,
"11752","PEAC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"010",,,
"11752","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,,"010",,,
"11752","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11752","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"010",,,
"11755","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"000",,"Aug03","5"
"11755","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Aug03","5"
"11760","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"11760","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"11760","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"11760","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"11762","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"11762","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"11762","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"11765","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"11765","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"11765","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"11770","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"11770","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"11770","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"11770","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"11770","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"11770","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"11770","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"010",,,
"11770","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"11770","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"11770","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"11770","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"010",,,
"11770","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"010",,,
"11770","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"11770","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"11770","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"11770","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"11770","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"11770","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"11770","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"11770","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"11770","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"11770","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"11770","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"010",,,
"11770","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"11770","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"11770","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,,"010",,,
"11770","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"11770","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"11770","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"11770","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"11771","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"11771","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,
"11771","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"11771","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,4.00,,"090",,,
"11771","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"11771","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"11771","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"11771","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"11771","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"11771","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"11771","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"11771","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"11771","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"11771","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"11771","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"11771","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"090",,,
"11771","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"11771","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,12.00,,"090",,,
"11771","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,,
"11771","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,,
"11771","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,25.00,,"090",,,
"11771","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,,"090",,,
"11772","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,4.00,"090",,"Mar03","7"
"11772","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,3.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,3.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,3.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,3.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,3.00,2.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"11772","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"Mar03","7"
"11900","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"11900","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"11900","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"11900","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"11900","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"11900","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"11900","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"11900","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"11900","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"11900","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"000",,,
"11900","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"11900","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"11900","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"11900","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"11901","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"11901","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"11901","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"11901","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"11901","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"11901","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"11901","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"11901","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"11901","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"11901","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"000",,,
"11901","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"11901","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,,"000",,,
"11901","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"11901","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"11920","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Hypodermic, IV","SC079","needle, micropigmentation (tattoo)","item",12.00,1.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,3.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,0.00,"000",,"Mar04","P"
"11920","PEAC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,3.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Hypodermic, IV","SC079","needle, micropigmentation (tattoo)","item",12.00,1.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,3.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,0.00,"000",,"Mar04","P"
"11921","PEAC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,3.00,0.00,"000",,"Mar04","P"
"11922","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"ZZZ",,"Mar04","P"
"11922","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"ZZZ",,"Mar04","P"
"11922","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"ZZZ",,"Mar04","P"
"11922","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"Mar04","P"
"11922","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"ZZZ",,"Mar04","P"
"11950","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"11950","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Sep04",
"11950","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Sep04",
"11950","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Sep04",
"11951","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"11951","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Sep04",
"11951","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Sep04",
"11951","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Sep04",
"11952","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"11952","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Sep04",
"11952","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Sep04",
"11952","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Sep04",
"11952","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Sep04",
"11952","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"000",,"Sep04",
"11952","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Sep04",
"11954","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"11954","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Sep04",
"11954","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Sep04",
"11954","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Sep04",
"11954","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Sep04",
"11954","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"000",,"Sep04",
"11954","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,0.00,"000",,"Sep04",
"11960","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,8.00,"090",,,
"11960","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,8.00,"090",,"Apr06","J"
"11960","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,8.00,"090",,,
"11960","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,8.00,"090",,,
"11960","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"11960","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,80.00,"090",,,
"11970","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"11970","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"11970","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"11970","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"11970","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"11970","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"11971","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"11971","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,"Aug03","6"
"11971","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"11971","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"11976","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"Feb05",
"11976","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Feb05",
"11976","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"11976","PEAC","Wound Care, Dressings","SG012","bandage, elastic wrap 4in (Ace)","item",1.17,1.00,0.00,"000",,"Feb05",
"11980","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"11980","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"11980","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"11980","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,,
"11980","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"11980","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,,
"11981","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX","11975",,
"11981","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX","11975",,
"11981","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","11975",,
"11981","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX","11975",,
"11981","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX","11975",,
"11981","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX","11975",,
"11981","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX","11975",,
"11981","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"XXX","11975",,
"11981","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX","11975",,
"11981","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"XXX","11975",,
"11981","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX","11975",,
"11981","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,,"XXX","11975",,
"11981","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,,"XXX","11975",,
"11981","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","11975",,
"11981","RUC","Office Supply, Grocery","SK052","pad, feminine mini","item",0.11,1.00,,"XXX","11975",,
"11982","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX","11976",,
"11982","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX","11976",,
"11982","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","11976",,
"11982","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX","11976",,
"11982","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX","11976",,
"11982","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX","11976",,
"11982","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX","11976",,
"11982","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"XXX","11976",,
"11982","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX","11976",,
"11982","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"XXX","11976",,
"11982","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX","11976",,
"11982","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,,"XXX","11976",,
"11982","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,,"XXX","11976",,
"11982","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","11976",,
"11982","RUC","Office Supply, Grocery","SK052","pad, feminine mini","item",0.11,1.00,,"XXX","11976",,
"11983","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX","11977",,
"11983","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX","11977",,
"11983","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","11977",,
"11983","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX","11977",,
"11983","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX","11977",,
"11983","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX","11977",,
"11983","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX","11977",,
"11983","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"XXX","11977",,
"11983","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX","11977",,
"11983","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"XXX","11977",,
"11983","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX","11977",,
"11983","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,,"XXX","11977",,
"11983","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,,"XXX","11977",,
"11983","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","11977",,
"11983","RUC","Office Supply, Grocery","SK052","pad, feminine mini","item",0.11,1.00,,"XXX","11977",,
"12001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12001","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12001","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12001","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12001","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12001","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12001","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"12001","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"12001","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"12001","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"12001","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"12001","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12001","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12001","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12001","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12001","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12002","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12002","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12002","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12002","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12002","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12002","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,,
"12002","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"12002","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"12002","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"12002","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"12002","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12002","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12002","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12002","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12002","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12004","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12004","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12004","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12004","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12004","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12004","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12004","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"000",,,
"12004","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12004","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"12004","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"12004","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"12004","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"000",,,
"12004","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12004","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12004","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12004","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12004","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12005","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12005","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12005","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12005","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12005","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12005","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,6.00,,"000",,,
"12005","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12005","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"000",,,
"12005","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"12005","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,,
"12005","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,48.00,,"000",,,
"12005","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12005","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12005","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,40.00,,"000",,,
"12005","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,,"000",,,
"12005","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12006","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12006","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12006","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12006","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12006","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12006","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12006","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"000",,,
"12006","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12006","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,3.00,,"000",,,
"12006","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"12006","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,,
"12006","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,54.00,,"000",,,
"12006","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"000",,,
"12006","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12006","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,40.00,,"000",,,
"12006","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,,"000",,,
"12006","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12007","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12007","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12007","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12007","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12007","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12007","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12007","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,10.00,,"000",,,
"12007","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12007","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,3.00,,"000",,,
"12007","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"12007","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"000",,,
"12007","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,66.00,,"000",,,
"12007","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"000",,,
"12007","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12007","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,40.00,,"000",,,
"12007","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,,"000",,,
"12007","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12011","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12011","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12011","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12011","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12011","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12011","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12011","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"12011","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12011","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"12011","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"12011","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"12011","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"12011","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"12011","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12011","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12011","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12011","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12011","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12013","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12013","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12013","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12013","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12013","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12013","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12013","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,,
"12013","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12013","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"12013","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"12013","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"12013","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"12013","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"12013","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12013","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12013","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12013","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12013","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12014","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12014","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12014","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12014","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12014","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12014","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12014","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"000",,,
"12014","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12014","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"12014","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"12014","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"12014","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"12014","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"12014","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12014","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12014","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12014","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12014","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12015","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12015","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12015","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12015","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12015","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12015","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"000",,,
"12015","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12015","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"000",,,
"12015","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"12015","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,,
"12015","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"12015","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"000",,,
"12015","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12015","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12015","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,,
"12015","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"12015","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12016","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","MD Time"
"12016","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"12016","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"12016","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"12016","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"12016","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"12016","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,6.00,,"000",,,
"12016","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,,
"12016","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,3.00,,"000",,,
"12016","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"12016","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,,
"12016","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,48.00,,"000",,,
"12016","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"12016","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"12016","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,40.00,,"000",,,
"12016","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,,"000",,,
"12016","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"12017","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT11","MD Time"
"12018","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT11","MD Time"
"12020","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"12020","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"12020","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"12020","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"12021","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"12021","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"12031","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12031","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,1.00,"010",,"Sep04",
"12031","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Sep04",
"12031","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"010",,"Sep04",
"12031","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Sep04",
"12031","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12031","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12031","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12032","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"12032","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"12032","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"12032","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"12032","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"12032","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"12032","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"12032","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"12032","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"010",,,
"12032","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"12032","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"12032","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"12032","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"12032","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"12032","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"12032","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"12032","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"12032","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"12032","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"12032","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"12032","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"12032","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"12032","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"12032","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"12032","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"12032","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"12032","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"12034","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12034","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,1.00,"010",,"Sep04",
"12034","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"12034","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Sep04",
"12034","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"12034","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12034","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12034","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12035","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"12035","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"12035","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"12035","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"12035","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"12035","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"12035","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"12035","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"12035","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"010",,,
"12035","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"12035","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"12035","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"12035","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"12035","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"12035","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"12035","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"12035","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"12035","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"12035","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"12035","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"12035","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"12035","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"12035","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"12035","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"12035","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"12035","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"12035","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"12036","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"12036","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"12036","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"12036","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"12037","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"12037","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"12037","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"12041","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12041","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,1.00,"010",,"Sep04",
"12041","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Sep04",
"12041","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"010",,"Sep04",
"12041","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Sep04",
"12041","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12041","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12041","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12042","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,1.00,"010",,"Sep04",
"12042","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Sep04",
"12042","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"010",,"Sep04",
"12042","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Sep04",
"12042","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12042","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12042","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12044","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12044","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,1.00,"010",,"Sep04",
"12044","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Sep04",
"12044","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"12044","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12044","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12044","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12045","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"12045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"12045","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"12045","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"12045","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"12046","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"12046","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"12046","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"12046","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,2.00,"010",,"CPT12","5 Year"
"12046","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"12046","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"12046","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"12046","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"12046","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"010",,,
"12046","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,6.00,2.00,"010",,"CPT12","5 Year"
"12046","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"12046","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"12046","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"12046","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"12046","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"12046","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"12046","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"12046","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"12046","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"12046","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,,
"12046","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"12046","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"12046","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"12046","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"12046","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"12046","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"12046","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"12047","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"12047","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"12047","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"12047","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,2.00,"010",,"CPT12","5 Year"
"12047","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"12047","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"12047","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"12047","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"12047","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"010",,,
"12047","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,6.00,2.00,"010",,"CPT12","5 Year"
"12047","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"12047","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"12047","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"12047","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"12047","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"12047","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"12047","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"12047","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"12047","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"12047","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,,
"12047","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"12047","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"12047","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"12047","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"12047","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"12047","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"12047","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"12051","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12051","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Sep04",
"12051","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"010",,"Sep04",
"12051","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Sep04",
"12051","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12051","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12051","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12052","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT12","5 Year"
"12052","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Sep04",
"12052","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"010",,"Sep04",
"12052","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Sep04",
"12052","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12052","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12052","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12053","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"12053","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Sep04",
"12053","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"12053","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12053","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12053","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"12054","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"12054","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Sep04",
"12054","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"12054","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12054","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12054","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12055","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"12055","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"12055","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,3.00,0.00,"010",,"Sep04",
"12055","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"010",,"Sep04",
"12055","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010","Sep04","Sep04",
"12055","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010","Sep04","Sep04",
"12055","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010","Sep04","Sep04",
"12055","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"12055","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,0.00,"010",,"Sep04",
"12055","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12055","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12056","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"12056","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12056","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010","Sep04","Sep04",
"12056","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,3.00,0.00,"010","Sep04","Sep04",
"12056","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"010",,"Sep04",
"12056","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,3.00,0.00,"010","Sep04","Sep04",
"12056","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010","Sep04","Sep04",
"12056","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,0.00,"010","Sep04","Sep04",
"12056","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Sep04",
"12056","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,0.00,"010",,"Sep04",
"12056","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12056","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12056","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"12057","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"12057","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"12057","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010","Sep04","Sep04",
"12057","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,4.00,0.00,"010","Sep04","Sep04",
"12057","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"010",,"Sep04",
"12057","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,3.00,0.00,"010","Sep04","Sep04",
"12057","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010","Sep04","Sep04",
"12057","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,0.00,"010","Sep04","Sep04",
"12057","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Sep04",
"12057","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,0.00,"010",,"Sep04",
"12057","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Sep04",
"12057","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"12057","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Sep04",
"13100","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13100","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13100","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,"CPT13","May 41"
"13100","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"010",,"CPT13","May 41"
"13100","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,"CPT13","May 41"
"13100","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"010",,"CPT13","May 41"
"13100","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"010",,"CPT13","May 41"
"13100","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,"CPT13","May 41"
"13100","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13100","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13100","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13101","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,2.00,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,1.00,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,1.00,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,1.00,"010",,"CPT13","May 41"
"13101","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,2.00,"010",,"CPT13","May 41"
"13101","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,3.00,,"010",,"CPT13","May 41"
"13101","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"010",,"CPT13","May 41"
"13101","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13101","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,"CPT13","May 41"
"13101","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"010",,"CPT13","May 41"
"13101","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,12.00,,"010",,"CPT13","May 41"
"13101","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"010",,"CPT13","May 41"
"13101","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,"CPT13","May 41"
"13101","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,1.00,"010",,"CPT13","May 41"
"13101","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13101","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13102","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"ZZZ",,"CPT13","May 41"
"13102","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"ZZZ",,"CPT13","May 41"
"13120","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,2.00,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,1.00,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,1.00,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,1.00,"010",,"CPT13","May 41"
"13120","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,2.00,"010",,"CPT13","May 41"
"13120","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,"CPT13","May 41"
"13120","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"010",,"CPT13","May 41"
"13120","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,"CPT13","May 41"
"13120","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"010",,"CPT13","May 41"
"13120","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"010",,"CPT13","May 41"
"13120","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,"CPT13","May 41"
"13120","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,"CPT13","May 41"
"13120","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,1.00,"010",,"CPT13","May 41"
"13120","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13120","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13121","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,3.00,,"010",,"CPT13","May 41"
"13121","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"010",,"CPT13","May 41"
"13121","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,"CPT13","May 41"
"13121","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"010",,"CPT13","May 41"
"13121","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,12.00,,"010",,"CPT13","May 41"
"13121","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"010",,"CPT13","May 41"
"13121","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,"CPT13","May 41"
"13121","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13121","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13121","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13122","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"ZZZ",,"CPT13","May 41"
"13122","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"ZZZ",,"CPT13","May 41"
"13131","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13131","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,"CPT13","May 41"
"13131","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"010",,"CPT13","May 41"
"13131","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"010",,"CPT13","May 41"
"13131","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,"CPT13","May 41"
"13131","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13131","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13132","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,3.00,,"010",,"CPT13","May 41"
"13132","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"010",,"CPT13","May 41"
"13132","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,"CPT13","May 41"
"13132","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"010",,"CPT13","May 41"
"13132","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,12.00,,"010",,"CPT13","May 41"
"13132","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"010",,"CPT13","May 41"
"13132","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,"CPT13","May 41"
"13132","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13132","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13133","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"ZZZ",,"CPT13","May 41"
"13133","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"ZZZ",,"CPT13","May 41"
"13100","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13150","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13150","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,"CPT13","May 41"
"13150","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"010",,"CPT13","May 41"
"13150","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,"CPT13","May 41"
"13150","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"010",,"CPT13","May 41"
"13150","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"010",,"CPT13","May 41"
"13150","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,"CPT13","May 41"
"13150","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13150","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13151","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,"CPT13","May 41"
"13151","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"010",,"CPT13","May 41"
"13151","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"010",,"CPT13","May 41"
"13151","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,"CPT13","May 41"
"13151","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13151","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT13","May 41"
"13152","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,3.00,,"010",,"CPT13","May 41"
"13152","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"010",,"CPT13","May 41"
"13152","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,"CPT13","May 41"
"13152","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,,"010",,"CPT13","May 41"
"13152","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,12.00,,"010",,"CPT13","May 41"
"13152","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"010",,"CPT13","May 41"
"13152","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,"CPT13","May 41"
"13152","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"010",,"CPT13","May 41"
"13152","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,"CPT13","May 41"
"13153","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT13","May 41"
"13153","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"ZZZ",,"CPT13","May 41"
"13153","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"ZZZ",,"CPT13","May 41"
"13160","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"13160","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"13160","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"13160","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"13160","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"13160","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"14000","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"14000","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"14000","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"090",,"Aug03","6"
"14000","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"14000","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"14001","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"14001","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"090",,"Aug03","6"
"14001","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"14001","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"14020","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"14020","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"090",,"Aug03","6"
"14020","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"14020","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"14021","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"14021","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"090",,"Aug03","6"
"14021","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"14021","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,4.00,"090",,"Aug03","6"
"14040","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"14040","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,"Aug03","6"
"14040","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"14041","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"14041","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,
"14041","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,,
"14041","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"14041","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"14041","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"14041","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"14041","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"14041","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,6.00,,"090",,,
"14041","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"14041","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"14041","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"090",,,
"14041","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"090",,,
"14041","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,,
"14041","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"090",,,
"14041","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"14041","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"090",,,
"14041","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"090",,,
"14041","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"14041","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,,
"14041","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,,
"14041","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,40.00,,"090",,,
"14041","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"090",,,
"14041","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"14060","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"14060","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"14060","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"090",,"Aug03","6"
"14060","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"090",,"Aug03","6"
"14060","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,"Aug03","6"
"14060","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"14061","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"14061","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,,
"14061","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,,
"14061","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"14061","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"14061","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"14061","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"14061","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"14061","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,6.00,,"090",,,
"14061","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"14061","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"14061","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"090",,,
"14061","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"090",,,
"14061","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,,
"14061","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"090",,,
"14061","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"14061","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"090",,,
"14061","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,1.00,"090",,,
"14061","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"14061","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,,
"14061","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,,
"14061","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,40.00,,"090",,,
"14061","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"090",,,
"14061","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"14301","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"CPT10","26"
"14301","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"CPT10","26"
"14301","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT10","26"
"14301","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","26"
"14301","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"CPT10","26"
"14301","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,"CPT10","26"
"14301","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"090",,"CPT10","26"
"14301","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"090",,"CPT10","26"
"14301","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"CPT10","26"
"14301","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"CPT10","26"
"14301","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,"CPT10","26"
"14301","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,5.00,,"090",,"CPT10","26"
"14301","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,5.00,,"090",,"CPT10","26"
"14301","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,5.00,,"090",,"CPT10","26"
"14301","RUC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,1.00,,"090",,"CPT10","26"
"14301","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,"CPT10","26"
"14301","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,"CPT10","26"
"14301","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"CPT10","26"
"14301","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,3.00,,"090",,"CPT10","26"
"14301","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,,"090",,"CPT10","26"
"14301","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"090",,"CPT10","26"
"14301","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,1.00,,"090",,"CPT10","26"
"14301","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"090",,"CPT10","26"
"14301","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"090",,"CPT10","26"
"14301","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"CPT10","26"
"14301","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,"CPT10","26"
"14301","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"CPT10","26"
"14301","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"090",,"CPT10","26"
"14301","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"090",,"CPT10","26"
"14301","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,,"090",,"CPT10","26"
"14301","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"CPT10","26"
"14301","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"090",,"CPT10","26"
"14301","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"090",,"CPT10","26"
"14301","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"090",,"CPT10","26"
"14302","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT10","26"
"14350","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"14350","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"14350","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,5.00,"090",,,
"14350","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"14350","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"15002","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT07",
"15002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT07",
"15002","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,"CPT07",
"15002","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT07",
"15002","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT07",
"15002","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT07",
"15002","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT07",
"15002","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT07",
"15002","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,"CPT07",
"15002","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"000",,"CPT07",
"15002","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,"CPT07",
"15002","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,"CPT07",
"15002","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT07",
"15002","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,,"000",,"CPT07",
"15002","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"000",,"CPT07",
"15002","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT07",
"15002","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT07",
"15002","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT07",
"15002","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,"CPT07",
"15002","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,"CPT07",
"15002","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT07",
"15003","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"ZZZ",,"CPT07",
"15003","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"ZZZ",,"CPT07",
"15003","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"ZZZ",,"CPT07",
"15003","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"ZZZ",,"CPT07",
"15003","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"ZZZ",,"CPT07",
"15003","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"ZZZ",,"CPT07",
"15003","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"ZZZ",,"CPT07",
"15004","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT07",
"15004","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT07",
"15004","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,"CPT07",
"15004","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT07",
"15004","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT07",
"15004","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT07",
"15004","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT07",
"15004","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT07",
"15004","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,"CPT07",
"15004","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"000",,"CPT07",
"15004","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"000",,"CPT07",
"15004","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,"CPT07",
"15004","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT07",
"15004","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,,"000",,"CPT07",
"15004","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"000",,"CPT07",
"15004","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT07",
"15004","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT07",
"15004","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT07",
"15004","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,"CPT07",
"15004","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,"CPT07",
"15004","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT07",
"15005","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"ZZZ",,"CPT07",
"15005","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"ZZZ",,"CPT07",
"15005","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"ZZZ",,"CPT07",
"15005","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"ZZZ",,"CPT07",
"15005","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"ZZZ",,"CPT07",
"15005","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"ZZZ",,"CPT07",
"15005","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"ZZZ",,"CPT07",
"15040","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,,"000",,"RUC05",
"15040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"RUC05",
"15040","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,"RUC05",
"15040","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"000",,"RUC05",
"15040","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"000",,"RUC05",
"15040","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"RUC05",
"15040","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"RUC05",
"15040","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"RUC05",
"15040","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"000",,"RUC05",
"15040","RUC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"000",,"RUC05",
"15040","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,"RUC05",
"15040","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"RUC05",
"15040","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"000",,"RUC05",
"15040","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,"RUC05",
"15040","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"000",,"RUC05",
"15040","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,,"000",,"RUC05",
"15040","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,,"000",,"RUC05",
"15040","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,,"000",,"RUC05",
"15040","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"000",,"RUC05",
"15040","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"000",,"RUC05",
"15040","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"000",,"RUC05",
"15040","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,"RUC05",
"15040","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"RUC05",
"15040","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"RUC05",
"15050","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"15050","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15050","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Cutters, Closures, Cautery","SF048","suture, monocryl, 3-0 to 6-0, p, ps","item",9.88,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,5.00,4.00,"090",,"Aug03","6"
"15050","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15050","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15100","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"15100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,
"15100","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,,
"15100","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,,
"15100","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,,
"15100","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"15100","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"15100","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"15100","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"090",,,
"15100","PEAC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"090",,,
"15100","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"15100","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"15100","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"090",,,
"15100","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,,
"15100","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,,
"15100","PEAC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,,
"15100","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,,
"15100","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,,
"15100","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"15100","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,,
"15100","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,,
"15100","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,,
"15100","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,,
"15100","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"15101","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"ZZZ",,,
"15101","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"ZZZ",,,
"15101","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"ZZZ",,,
"15101","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"ZZZ",,,
"15101","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,4.00,,"ZZZ",,,
"15101","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,,
"15101","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,4.00,2.00,"ZZZ",,,
"15101","PEAC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,,"ZZZ",,,
"15101","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.00,3.00,"ZZZ",,,
"15101","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"ZZZ",,,
"15101","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"ZZZ",,,
"15101","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"ZZZ",,,
"15101","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"ZZZ",,,
"15101","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"ZZZ",,,
"15101","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ",,,
"15110","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"RUC05",
"15110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"RUC05",
"15110","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"RUC05",
"15110","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,"RUC05",
"15110","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,"RUC05",
"15110","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"RUC05",
"15110","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"RUC05",
"15110","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,"RUC05",
"15110","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"090",,"RUC05",
"15110","RUC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"090",,"RUC05",
"15110","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,"RUC05",
"15110","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"RUC05",
"15110","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"090",,"RUC05",
"15110","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"RUC05",
"15110","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,"RUC05",
"15110","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,"RUC05",
"15110","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,"RUC05",
"15110","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,"RUC05",
"15110","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"RUC05",
"15110","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,"RUC05",
"15110","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,"RUC05",
"15110","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,"RUC05",
"15110","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,"RUC05",
"15110","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"RUC05",
"15111","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"15115","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"RUC05",
"15115","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"RUC05",
"15115","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"RUC05",
"15115","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,"RUC05",
"15115","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,"RUC05",
"15115","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"RUC05",
"15115","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"RUC05",
"15115","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,"RUC05",
"15115","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"090",,,
"15115","RUC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"090",,"RUC05",
"15115","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,"RUC05",
"15115","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"RUC05",
"15115","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"090",,"RUC05",
"15115","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"RUC05",
"15115","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,"RUC05",
"15115","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,"RUC05",
"15115","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,"RUC05",
"15115","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,"RUC05",
"15115","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"RUC05",
"15115","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,"RUC05",
"15115","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,"RUC05",
"15115","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,"RUC05",
"15115","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,"RUC05",
"15115","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"RUC05",
"15116","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"15120","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"15120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"CPT12","5 Year"
"15120","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,,
"15120","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,,
"15120","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,,
"15120","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"15120","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"15120","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"15120","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"090",,,
"15120","PEAC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"090",,,
"15120","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"15120","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"15120","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"090",,,
"15120","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,,
"15120","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,2.00,"090",,,
"15120","PEAC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,,"090",,,
"15120","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT12","5 Year"
"15120","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,3.00,"090",,"CPT12","5 Year"
"15120","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"15120","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,,
"15120","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,,
"15120","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,,
"15120","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,,
"15120","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"15121","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"ZZZ",,,
"15121","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"ZZZ",,,
"15121","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"ZZZ",,,
"15121","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"ZZZ",,,
"15121","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,4.00,,"ZZZ",,,
"15121","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,,
"15121","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,4.00,2.00,"ZZZ",,,
"15121","PEAC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,,"ZZZ",,,
"15121","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.00,3.00,"ZZZ",,,
"15121","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"ZZZ",,,
"15121","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"ZZZ",,,
"15121","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"ZZZ",,,
"15121","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"ZZZ",,,
"15121","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"ZZZ",,,
"15121","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"ZZZ",,,
"15121","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ",,,
"15130","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"RUC05",
"15130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"RUC05",
"15130","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"RUC05",
"15130","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,"RUC05",
"15130","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,"RUC05",
"15130","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"RUC05",
"15130","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"RUC05",
"15130","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,"RUC05",
"15130","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"090",,"RUC05",
"15130","RUC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"090",,"RUC05",
"15130","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,"RUC05",
"15130","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"RUC05",
"15130","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"090",,"RUC05",
"15130","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"RUC05",
"15130","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,"RUC05",
"15130","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,"RUC05",
"15130","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,"RUC05",
"15130","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,"RUC05",
"15130","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"RUC05",
"15130","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,"RUC05",
"15130","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,"RUC05",
"15130","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,"RUC05",
"15130","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,"RUC05",
"15130","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"RUC05",
"15131","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"15135","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"RUC05",
"15135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"RUC05",
"15135","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"RUC05",
"15135","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,"RUC05",
"15135","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,"RUC05",
"15135","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"RUC05",
"15135","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"RUC05",
"15135","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,"RUC05",
"15135","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,8.00,,"090",,"RUC05",
"15135","RUC","Cutters, Closures, Cautery","SF003","blade, dermatome","item",17.40,1.00,,"090",,"RUC05",
"15135","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,"RUC05",
"15135","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"RUC05",
"15135","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,6.00,,"090",,"RUC05",
"15135","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"RUC05",
"15135","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,"RUC05",
"15135","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,"RUC05",
"15135","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,"RUC05",
"15135","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,"RUC05",
"15135","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"RUC05",
"15135","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,40.00,,"090",,"RUC05",
"15135","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,"RUC05",
"15135","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,"RUC05",
"15135","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,"RUC05",
"15135","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"RUC05",
"15136","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"15150","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"RUC05",
"15150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"RUC05",
"15150","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"RUC05",
"15150","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090",,"RUC05",
"15150","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090",,"RUC05",
"15150","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"RUC05",
"15150","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"RUC05",
"15150","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,"RUC05",
"15150","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"090",,"RUC05",
"15150","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,"RUC05",
"15150","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"RUC05",
"15150","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"090",,"RUC05",
"15150","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"RUC05",
"15150","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,"RUC05",
"15150","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,"RUC05",
"15150","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,"RUC05",
"15150","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,"RUC05",
"15150","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"RUC05",
"15150","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"090",,"RUC05",
"15150","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,"RUC05",
"15150","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,"RUC05",
"15150","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,"RUC05",
"15150","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"RUC05",
"15151","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"ZZZ",,"RUC05",
"15152","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"ZZZ",,"RUC05",
"15155","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"RUC05",
"15155","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"RUC05",
"15155","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"090",,"RUC05",
"15155","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"090","RUC05","RUC05",
"15155","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"090","RUC05","RUC05",
"15155","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090","RUC05","RUC05",
"15155","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090","RUC05","RUC05",
"15155","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090","RUC05","RUC05",
"15155","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"090","RUC05","RUC05",
"15155","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,"RUC05",
"15155","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"RUC05",
"15155","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"090",,"RUC05",
"15155","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"RUC05",
"15155","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"090",,"RUC05",
"15155","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,2.00,1.00,"090",,"RUC05",
"15155","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,2.00,"090",,"RUC05",
"15155","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,4.00,"090",,"RUC05",
"15155","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,"RUC05",
"15155","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"090",,"RUC05",
"15155","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"090",,"RUC05",
"15155","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,"RUC05",
"15155","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,"RUC05",
"15155","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"RUC05",
"15156","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"ZZZ",,"RUC05",
"15157","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"ZZZ",,"RUC05",
"15200","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"15200","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15200","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,4.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Cutters, Closures, Cautery","SF048","suture, monocryl, 3-0 to 6-0, p, ps","item",9.88,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.50,3.50,"090",,"Aug03","6"
"15200","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15200","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15201","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"Mar04","P"
"15201","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"ZZZ",,"Mar04","P"
"15220","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","6"
"15220","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15220","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,4.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Cutters, Closures, Cautery","SF048","suture, monocryl, 3-0 to 6-0, p, ps","item",9.88,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,5.50,4.50,"090",,"Aug03","6"
"15220","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15220","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15221","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"Mar04","P"
"15221","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"ZZZ",,"Mar04","P"
"15240","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"15240","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15240","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Cutters, Closures, Cautery","SF048","suture, monocryl, 3-0 to 6-0, p, ps","item",9.88,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,7.00,6.00,"090",,"Aug03","6"
"15240","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15240","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15241","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"Mar04","P"
"15241","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"ZZZ",,"Mar04","P"
"15260","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"15260","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15260","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Cutters, Closures, Cautery","SF048","suture, monocryl, 3-0 to 6-0, p, ps","item",9.88,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,6.00,5.00,"090",,"Aug03","6"
"15260","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15260","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15261","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"ZZZ",,,
"15261","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"ZZZ",,,
"15261","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"ZZZ",,,
"15261","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"ZZZ",,,
"15261","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"ZZZ",,,
"15261","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"ZZZ",,,
"15261","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"ZZZ",,,
"15261","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"ZZZ",,,
"15261","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,2.00,"ZZZ",,,
"15261","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"ZZZ",,,
"15261","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"ZZZ",,,
"15261","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,1.00,"ZZZ",,,
"15261","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"ZZZ",,,
"15261","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"ZZZ",,,
"15261","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"ZZZ",,,
"15271","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,,"000",,"CPT12","May 1"
"15271","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,,"000",,"CPT12","May 1"
"15271","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,72.00,,"000",,"CPT12","May 1"
"15271","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,10.00,,"000",,"CPT12","May 1"
"15271","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,"CPT12","May 1"
"15271","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,,"000",,"CPT12","May 1"
"15272","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,,"ZZZ",,"CPT12","May 1"
"15272","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"ZZZ",,"CPT12","May 1"
"15273","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"000",,"CPT12","May 1"
"15273","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,,"000",,"CPT12","May 1"
"15273","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT12","May 1"
"15273","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,,"000",,"CPT12","May 1"
"15273","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,"CPT12","May 1"
"15273","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT12","May 1"
"15273","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT12","May 1"
"15274","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,,"ZZZ",,"CPT12","May 1"
"15274","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,,"ZZZ",,"CPT12","May 1"
"15274","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"ZZZ",,"CPT12","May 1"
"15274","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"ZZZ",,"CPT12","May 1"
"15275","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,,"000",,"CPT12","May 1"
"15275","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,,"000",,"CPT12","May 1"
"15275","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,72.00,,"000",,"CPT12","May 1"
"15275","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,10.00,,"000",,"CPT12","May 1"
"15275","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,"CPT12","May 1"
"15275","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,,"000",,"CPT12","May 1"
"15276","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,,"ZZZ",,"CPT12","May 1"
"15276","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"ZZZ",,"CPT12","May 1"
"15277","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"000",,"CPT12","May 1"
"15277","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,,"000",,"CPT12","May 1"
"15277","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"CPT12","May 1"
"15277","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,5.00,,"000",,"CPT12","May 1"
"15277","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,"CPT12","May 1"
"15277","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT12","May 1"
"15277","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT12","May 1"
"15278","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,,"ZZZ",,"CPT12","May 1"
"15278","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,,"ZZZ",,"CPT12","May 1"
"15278","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"ZZZ",,"CPT12","May 1"
"15278","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"ZZZ",,"CPT12","May 1"
"15570","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Oct08","ss"
"15570","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15570","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,3.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.00,3.00,"090",,"Aug03","6"
"15570","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15570","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Oct08","ss"
"15572","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15572","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.00,3.00,"090",,"Aug03","6"
"15572","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15572","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Oct08","ss"
"15574","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15574","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,5.00,4.00,"090",,"Aug03","6"
"15574","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15574","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Oct08","ss"
"15576","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15576","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.00,3.00,"090",,"Aug03","6"
"15576","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15576","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"15600","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15600","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.00,2.00,"090",,"Aug03","6"
"15600","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15600","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"15610","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15610","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.00,2.00,"090",,"Aug03","6"
"15610","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15610","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"15620","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15620","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.50,2.50,"090",,"Aug03","6"
"15620","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15620","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"15630","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15630","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.50,2.50,"090",,"Aug03","6"
"15630","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15630","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"15650","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15650","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,3.50,2.50,"090",,"Aug03","6"
"15650","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15650","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15731","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT07",
"15731","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"CPT07",
"15731","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT07",
"15731","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT07",
"15731","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"CPT07",
"15731","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT07",
"15731","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"CPT07",
"15731","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT07",
"15731","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"090",,"CPT07",
"15731","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"CPT07",
"15731","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT07",
"15731","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"CPT07",
"15731","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"090",,"CPT07",
"15731","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,"CPT07",
"15731","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"CPT07",
"15731","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,"CPT07",
"15731","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"CPT07",
"15731","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"CPT07",
"15731","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,"CPT07",
"15732","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"15732","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,
"15732","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,,
"15732","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,,
"15732","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,,
"15732","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,,
"15732","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,,
"15732","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,,
"15732","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"090",,,
"15732","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,,
"15732","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,,
"15732","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,,
"15732","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,,
"15732","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,4.00,"090",,,
"15732","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,,
"15732","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,4.00,"090",,,
"15732","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,4.00,"090",,,
"15732","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"090",,,
"15732","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,,
"15732","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,,
"15732","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,,
"15732","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,,
"15732","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,,
"15732","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,,
"15732","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,,
"15732","PEAC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,0.00,"090",,,
"15734","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"15734","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,,
"15734","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,,
"15734","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,,
"15734","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,,
"15734","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,,
"15734","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,,
"15734","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,,
"15734","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"090",,,
"15734","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,,
"15734","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,,
"15734","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,,
"15734","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,,
"15734","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,4.00,"090",,,
"15734","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,,
"15734","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,4.00,"090",,,
"15734","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,4.00,"090",,,
"15734","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"090",,,
"15734","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,,
"15734","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,,
"15734","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,,
"15734","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,,
"15734","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,,
"15734","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,,
"15734","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,,
"15734","PEAC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,0.00,"090",,,
"15736","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"15736","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,
"15736","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,,
"15736","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,,
"15736","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,,
"15736","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,,
"15736","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,,
"15736","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,,
"15736","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"090",,,
"15736","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,,
"15736","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,,
"15736","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,,
"15736","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,,
"15736","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,4.00,"090",,,
"15736","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,,
"15736","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,4.00,"090",,,
"15736","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,4.00,"090",,,
"15736","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"090",,,
"15736","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,,
"15736","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,,
"15736","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,,
"15736","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,,
"15736","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,,
"15736","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,,
"15736","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,,
"15736","PEAC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,0.00,"090",,,
"15738","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,,
"15738","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,
"15738","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,,
"15738","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,,
"15738","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,,
"15738","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,,
"15738","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,,
"15738","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,,
"15738","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,0.00,"090",,,
"15738","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,,
"15738","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,,
"15738","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,,
"15738","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,,
"15738","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"090",,,
"15738","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,,
"15738","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,4.00,"090",,,
"15738","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,4.00,"090",,,
"15738","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"090",,,
"15738","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,,
"15738","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,,
"15738","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,,
"15738","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,,
"15738","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,,
"15738","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,,
"15738","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,,
"15738","PEAC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,0.00,"090",,,
"15740","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","6"
"15740","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15740","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.00,3.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"090",,"Aug03","6"
"15740","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,1.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"15740","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15750","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15750","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"15750","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"15750","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,5.00,"090",,,
"15750","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"15750","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"15756","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090","15755",,
"15756","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15756","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,7.00,"090","15755",,
"15756","CMS WALK: BOTH SITES","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,7.00,"090","15755",,
"15756","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090","15755",,
"15756","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,70.00,"090","15755",,
"15757","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090","15755",,
"15757","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15757","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,7.00,"090","15755",,
"15757","CMS WALK: BOTH SITES","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,7.00,"090","15755",,
"15757","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090","15755",,
"15757","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,70.00,"090","15755",,
"15758","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090","15755",,
"15758","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15758","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,7.00,"090","15755",,
"15758","CMS WALK: BOTH SITES","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,7.00,"090","15755",,
"15758","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090","15755",,
"15758","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,70.00,"090","15755",,
"15760","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"15760","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15760","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.50,3.50,"090",,"Aug03","6"
"15760","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15760","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15770","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15770","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15770","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"15770","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,5.00,"090",,,
"15770","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"15770","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"15775","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000","Feb05","Feb05",
"15775","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"Feb05",
"15775","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000","Feb05","Feb05",
"15775","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000","Feb05","Feb05",
"15775","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Feb05",
"15775","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"000",,"Feb05",
"15775","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"000",,"Feb05",
"15775","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Feb05",
"15775","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Feb05",
"15775","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000","Feb05","Feb05",
"15776","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Feb05",
"15776","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000","Feb05","Feb05",
"15776","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000","Feb05","Feb05",
"15776","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Feb05",
"15776","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"Feb05",
"15776","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,3.00,0.00,"000",,"Feb05",
"15776","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Feb05",
"15776","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Feb05",
"15776","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"Feb05",
"15780","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Mar04","P"
"15780","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,6.00,3.00,"090",,"Mar04","P"
"15780","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,4.00,2.00,"090",,"Mar04","P"
"15780","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,16.00,8.00,"090",,"Mar04","P"
"15780","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,16.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,60.00,0.00,"090",,"Mar04","P"
"15780","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Mar04","P"
"15781","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,1.00,"090",,"Mar04","P"
"15781","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,2.00,"090",,"Mar04","P"
"15781","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,6.00,3.00,"090",,"Mar04","P"
"15781","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar04","P"
"15781","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","P"
"15782","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,1.00,"090",,"Mar04","P"
"15782","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,2.00,"090",,"Mar04","P"
"15782","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,24.00,12.00,"090",,"Mar04","P"
"15782","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,60.00,0.00,"090",,"Mar04","P"
"15782","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","P"
"15783","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,1.00,"090",,"Mar04","P"
"15783","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,2.00,"090",,"Mar04","P"
"15783","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,6.00,3.00,"090",,"Mar04","P"
"15783","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar04","P"
"15783","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","P"
"15786","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,4.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"010",,"Mar04","P"
"15786","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","P"
"15787","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"ZZZ",,"Mar04","P"
"15787","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"ZZZ",,"Mar04","P"
"15787","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,4.00,0.00,"ZZZ",,"Mar04","P"
"15787","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"ZZZ",,"Mar04","P"
"15787","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"ZZZ",,"Mar04","P"
"15787","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"ZZZ",,"Mar04","P"
"15788","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"15788","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,4.00,2.00,"090",,"Aug03","6"
"15788","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,16.00,8.00,"090",,"Aug03","6"
"15788","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, Rx","SH083","Jessner's soln","ml",0.23,1.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,16.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,60.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,0.00,"090",,"Aug03","6"
"15788","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","6"
"15789","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,2.00,"090",,"Aug03","6"
"15789","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,6.00,3.00,"090",,"Aug03","6"
"15789","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, Rx","SH088","phenol, liquified, USP","ml",0.13,1.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,0.00,"090",,"Aug03","6"
"15789","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"15792","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,2.00,"090",,"Aug03","6"
"15792","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,24.00,12.00,"090",,"Aug03","6"
"15792","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, Rx","SH083","Jessner's soln","ml",0.23,1.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,60.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,0.00,"090",,"Aug03","6"
"15792","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","6"
"15793","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,2.00,"090",,"Aug03","6"
"15793","PEAC","Wound Care, Dressings","SG038","dressing, 4in x 4in (Vigilon)","item",4.37,6.00,3.00,"090",,"Aug03","6"
"15793","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, Rx","SH088","phenol, liquified, USP","ml",0.13,1.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, Rx","SH089","skin refrigerant-anesthetic spray (Frigiderm)","oz",5.00,8.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,0.00,"090",,"Aug03","6"
"15793","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"15819","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15819","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15819","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15819","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15819","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15819","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15820","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok","Apr06","J"
"15820","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,,
"15820","PEAC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,,"090",,,
"15820","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,22.00,6.00,"090",,,
"15820","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,1.00,"090",,,
"15820","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,,
"15820","PEAC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,,"090",,,
"15820","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,30.00,,"090",,,
"15820","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"15820","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,20.00,"090",,,
"15820","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,20.00,"090",,,
"15821","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok",,
"15821","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"15821","PEAC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,,"090",,,
"15821","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,22.00,6.00,"090",,,
"15821","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,1.00,"090",,,
"15821","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,,
"15821","PEAC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,,"090",,,
"15821","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,30.00,,"090",,,
"15821","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"15821","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,20.00,"090",,,
"15821","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,20.00,"090",,,
"15822","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok","Apr06","J"
"15822","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"15822","PEAC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,,"090",,,
"15822","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,22.00,6.00,"090",,,
"15822","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,1.00,"090",,,
"15822","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,,
"15822","PEAC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,,"090",,,
"15822","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,30.00,,"090",,,
"15822","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"15822","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,20.00,"090",,,
"15822","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,20.00,"090",,,
"15823","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,5.00,4.00,"090","ok","Apr06","J"
"15823","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"15823","PEAC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,,"090",,,
"15823","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,22.00,6.00,"090",,,
"15823","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,1.00,"090",,,
"15823","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,,
"15823","PEAC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,,"090",,,
"15823","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,30.00,,"090",,,
"15823","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"15823","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,20.00,"090",,,
"15823","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,20.00,"090",,,
"15824","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15825","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15826","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15828","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15829","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT07",
"15830","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT07",
"15832","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15832","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15832","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15832","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15832","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15832","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15833","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15833","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15833","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15833","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15833","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15833","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15834","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15834","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15834","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15834","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15834","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15834","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15835","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"15835","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"15836","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15836","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15836","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15836","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15836","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15836","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15837","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"15837","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15837","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.50,3.50,"090",,"Aug03","6"
"15837","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15837","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15838","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15838","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15838","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15838","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15838","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15838","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15839","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"15839","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"15839","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.50,3.50,"090",,"Aug03","6"
"15839","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"15839","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"15840","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15840","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15840","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15840","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15840","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15840","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15841","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15841","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15841","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15841","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15841","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15841","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15842","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"15842","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"15842","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,7.00,"090",,,
"15842","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,7.00,"090",,,
"15842","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,,
"15842","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,70.00,"090",,,
"15845","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15845","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"15845","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"15845","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"15845","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"15845","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"15847","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"ZZZ",,"CPT07",
"15850","CPEP","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"XXX",,,
"15850","CPEP","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"XXX",,,
"15850","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"XXX",,,
"15850","CPEP","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"15850","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"15850","CPEP","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,,
"15850","CPEP","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"15850","CPEP","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,,
"15850","CPEP","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"XXX",,,
"15850","CPEP","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"XXX",,,
"15850","CPEP","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"XXX",,,
"15850","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"XXX",,,
"15850","CPEP","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"XXX",,,
"15850","CPEP","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"15850","CPEP","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"XXX",,,
"15850","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"XXX",,,
"15850","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"XXX",,,
"15850","CPEP","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"XXX",,,
"15850","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"15851","CPEP","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"15851","CPEP","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"15851","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"15851","CPEP","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"15851","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"15851","CPEP","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"15851","CPEP","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"15851","CPEP","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"15851","CPEP","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,,
"15851","CPEP","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"15851","CPEP","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"15851","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"000",,,
"15851","CPEP","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"000",,,
"15851","CPEP","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"15851","CPEP","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"15851","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,,
"15851","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"15851","CPEP","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,,
"15851","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"15852","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Feb05",
"15860","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"15876","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15877","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15878","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15879","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"15920","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"15920","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15920","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"15920","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,5.00,"090",,,
"15920","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"15920","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,5.00,"090",,,
"15920","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"15922","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15922","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15922","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15922","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15922","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15922","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15931","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15931","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15931","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15931","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15931","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15931","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"15931","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15933","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,6.00,"090",,,
"15933","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15933","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15933","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15933","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15933","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,
"15933","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15934","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15934","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15934","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15934","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15934","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15934","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15935","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15935","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"15935","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15935","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15935","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15935","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15936","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15936","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15936","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15936","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15936","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15936","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15937","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15937","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"15937","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15937","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15937","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15937","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15940","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,3.00,"090",,,
"15940","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"15940","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"15940","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"15940","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"15940","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"15940","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"15941","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,6.00,"090",,,
"15941","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15941","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15941","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15941","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15941","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,
"15941","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15944","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15944","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15944","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15944","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15944","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15944","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15945","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15945","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15945","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15945","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15945","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15945","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15946","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15946","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15946","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15946","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15946","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15946","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15950","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15950","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"15950","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15950","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15950","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15950","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"15950","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15951","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,6.00,"090",,,
"15951","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15951","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15951","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15951","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15951","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,
"15951","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15952","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"15952","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15952","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"15952","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"15952","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"15952","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"15953","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15953","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"15953","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15953","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15953","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15953","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15956","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15956","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"15956","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15956","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15956","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15956","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15958","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"15958","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"15958","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"15958","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,6.00,"090",,,
"15958","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"15958","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"15999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"16000","CPEP","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"16000","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"16000","CPEP","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"16000","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"16000","CPEP","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"16000","CPEP","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"16000","CPEP","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"16000","CPEP","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,,
"16000","CPEP","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"16000","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"000",,,
"16000","CPEP","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"000",,,
"16000","CPEP","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"16000","CPEP","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"000",,,
"16000","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,,
"16000","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"16000","CPEP","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,,
"16000","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"16020","RUC","Kit, Pack, Tray","SA029","kit, sharp debridement","kit",4.11,1.00,,"000",,"RUC05",
"16020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"RUC05",
"16020","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"RUC05",
"16020","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"RUC05",
"16020","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"000",,"RUC05",
"16020","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"000",,"RUC05",
"16020","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"RUC05",
"16020","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"RUC05",
"16020","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"000",,"RUC05",
"16020","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,"RUC05",
"16020","RUC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,,"000",,"RUC05",
"16020","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,"RUC05",
"16025","RUC","Kit, Pack, Tray","SA029","kit, sharp debridement","kit",4.11,1.00,,"000",,"RUC05",
"16025","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"RUC05",
"16025","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"RUC05",
"16025","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"RUC05",
"16025","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"000",,"RUC05",
"16025","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"000",,"RUC05",
"16025","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,4.00,,"000",,"RUC05",
"16025","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,"RUC05",
"16025","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"000",,"RUC05",
"16025","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,"RUC05",
"16025","RUC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,,"000",,"RUC05",
"16025","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"RUC05",
"16025","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,"RUC05",
"16030","RUC","Kit, Pack, Tray","SA029","kit, sharp debridement","kit",4.11,1.00,,"000",,"RUC05",
"16030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"RUC05",
"16030","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"RUC05",
"16030","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"RUC05",
"16030","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"000",,"RUC05",
"16030","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,4.00,,"000",,"RUC05",
"16030","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,8.00,,"000",,"RUC05",
"16030","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,8.00,,"000",,"RUC05",
"16030","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,48.00,,"000",,"RUC05",
"16030","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,,"000",,"RUC05",
"16030","RUC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,,"000",,"RUC05",
"16030","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,2.00,,"000",,"RUC05",
"16030","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"000",,"RUC05",
"16035","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"090",,,
"16036","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"17000","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17000","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17000","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"17000","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17000","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,8.00,,"010",,,
"17000","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,10.00,,"010",,,
"17000","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17000","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17000","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17000","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17000","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17003","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,8.00,,"ZZZ",,,
"17003","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,10.00,,"ZZZ",,,
"17003","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"ZZZ",,,
"17003","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,3.00,,"ZZZ",,,
"17003","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,,"ZZZ",,,
"17003","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"ZZZ",,,
"17004","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17004","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17004","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,,
"17004","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17004","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,90.00,,"010",,,
"17004","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,10.00,,"010",,,
"17004","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,42.00,,"010",,,
"17004","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17004","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,62.00,,"010",,,
"17004","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,24.00,,"010",,,
"17004","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,6.00,,"010",,,
"17106","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Oct08","hi"
"17106","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"17106","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"17106","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"17106","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"17106","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"17106","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"17106","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"17106","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"17106","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,,
"17106","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"090",,,
"17106","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"090",,,
"17106","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"090",,,
"17106","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,,
"17106","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,,
"17106","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"17107","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Oct08","hi"
"17107","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"17107","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"17107","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"17107","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"17107","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"17107","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"17107","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"17107","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"090",,,
"17107","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"17107","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,,
"17107","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"090",,,
"17107","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"090",,,
"17107","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"090",,,
"17107","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,,
"17107","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,,
"17107","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"17108","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Oct08","hi"
"17108","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"17108","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"17108","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"17108","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"17108","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"090",,,
"17108","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"090",,,
"17108","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"090",,,
"17108","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"17108","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"090",,,
"17108","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,,
"17108","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,,
"17108","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"17108","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"090",,,
"17108","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"090",,,
"17108","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"090",,,
"17108","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"090",,,
"17108","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,,
"17110","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17110","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17110","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17110","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17110","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17110","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17110","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"17110","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17110","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17110","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17110","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17110","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17110","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"17110","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17110","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17110","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17110","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17110","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17110","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17110","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17111","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17111","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17111","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17111","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17111","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17111","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17111","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"17111","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,40.00,,"010",,,
"17111","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17111","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17111","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17111","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17111","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"17111","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17111","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17111","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17111","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17111","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17111","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17111","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17250","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"17250","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"17250","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,,
"17250","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,,
"17250","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"17250","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,,
"17250","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,5.00,0.00,"000",,,
"17250","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"000",,,
"17250","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,0.00,"000",,,
"17250","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,,
"17250","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"000",,,
"17250","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,,
"17250","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,0.00,"000",,,
"17250","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,0.00,"000",,,
"17250","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,,
"17250","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,0.00,"000",,,
"17250","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"17250","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"17250","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,5.00,0.00,"000",,,
"17250","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"17260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT12","5 Year"
"17260","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17260","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17260","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17260","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17260","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17260","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"17260","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,,"010",,,
"17260","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17260","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17260","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17260","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17260","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17260","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"010",,,
"17260","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17260","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17260","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17260","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17260","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17261","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17261","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17261","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17261","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17261","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17261","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17261","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"17261","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,,"010",,,
"17261","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17261","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17261","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17261","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17261","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17261","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17261","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17261","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17261","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17261","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17261","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17261","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17262","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17262","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17262","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17262","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17262","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17262","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17262","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"17262","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17262","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17262","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17262","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17262","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17262","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17262","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17262","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17262","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17262","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17262","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17262","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17262","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17262","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17263","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17263","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17263","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17263","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17263","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17263","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17263","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"17263","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17263","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17263","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17263","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17263","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17263","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17263","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17263","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17263","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17263","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17263","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17263","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17263","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17263","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17264","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17264","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17264","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17264","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17264","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17264","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17264","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"17264","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,40.00,,"010",,,
"17264","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17264","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17264","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17264","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17264","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17264","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17264","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17264","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17264","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17264","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17264","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17264","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17264","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17266","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17266","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17266","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17266","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17266","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17266","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17266","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,5.00,,"010",,,
"17266","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,80.00,,"010",,,
"17266","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17266","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17266","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17266","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17266","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17266","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"010",,,
"17266","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17266","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17266","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17266","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17266","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17266","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17266","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17270","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17270","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17270","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17270","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17270","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17270","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17270","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"17270","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,,"010",,,
"17270","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17270","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17270","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17270","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17270","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17270","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17270","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"010",,,
"17270","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17270","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17270","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17270","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17270","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17271","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17271","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17271","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17271","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17271","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17271","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17271","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"17271","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,,"010",,,
"17271","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17271","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17271","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17271","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17271","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17271","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17271","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17271","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17271","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17271","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17271","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17271","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17272","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17272","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17272","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17272","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17272","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17272","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17272","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"17272","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17272","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17272","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17272","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17272","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17272","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17272","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17272","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17272","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17272","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17272","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17272","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17272","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17272","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17273","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17273","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17273","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17273","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17273","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17273","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17273","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"17273","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17273","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17273","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17273","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17273","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17273","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17273","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"17273","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17273","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17273","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17273","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17273","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17273","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17273","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17274","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17274","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17274","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17274","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17274","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17274","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17274","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"17274","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,40.00,,"010",,,
"17274","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17274","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17274","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17274","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17274","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17274","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"17274","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17274","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17274","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17274","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17274","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17274","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17274","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17276","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17276","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17276","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17276","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17276","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17276","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17276","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,5.00,,"010",,,
"17276","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,80.00,,"010",,,
"17276","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17276","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17276","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17276","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17276","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17276","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"010",,,
"17276","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17276","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17276","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17276","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17276","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17276","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17276","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17280","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17280","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17280","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17280","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17280","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17280","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17280","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"17280","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,,"010",,,
"17280","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17280","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17280","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17280","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17280","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17280","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17280","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"010",,,
"17280","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17280","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17280","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17280","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17280","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17281","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17281","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17281","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17281","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17281","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17281","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17281","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"17281","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,,"010",,,
"17281","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17281","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17281","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17281","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17281","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17281","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"17281","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17281","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"010",,,
"17281","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17281","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17281","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17281","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17282","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17282","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17282","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17282","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17282","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17282","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17282","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"010",,,
"17282","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17282","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17282","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17282","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17282","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17282","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"17282","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"17282","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17282","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17282","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17282","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17282","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17282","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17282","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17283","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17283","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17283","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17283","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17283","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17283","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17283","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,3.00,,"010",,,
"17283","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,27.00,,"010",,,
"17283","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17283","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17283","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17283","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17283","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17283","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"17283","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"17283","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17283","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,2.00,,"010",,,
"17283","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17283","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17283","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17283","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17284","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17284","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17284","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17284","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17284","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17284","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17284","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,4.00,,"010",,,
"17284","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,40.00,,"010",,,
"17284","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17284","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17284","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17284","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17284","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17284","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"17284","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17284","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17284","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17284","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17284","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17284","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17284","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17286","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,,
"17286","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"17286","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"17286","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"17286","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"17286","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"17286","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,5.00,,"010",,,
"17286","PEAC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,80.00,,"010",,,
"17286","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"17286","PEAC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,,"010",,,
"17286","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"17286","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"010",,,
"17286","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"17286","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"010",,,
"17286","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"010",,,
"17286","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"010",,,
"17286","PEAC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,3.00,,"010",,,
"17286","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,,"010",,,
"17286","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"17286","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"17286","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"17311","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT07",
"17311","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"CPT07",
"17311","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT07",
"17311","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT07",
"17311","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"000",,"CPT07",
"17311","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"CPT07",
"17311","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17311","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,1.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"000",,"CPT07",
"17311","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,1.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,30.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,2.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,60.00,0.00,"000",,"CPT07",
"17311","RUC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,8.00,0.00,"000",,"CPT07",
"17311","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"CPT07",
"17311","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,0.40,0.00,"000",,"CPT07",
"17311","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"000",,"CPT07",
"17311","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17311","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"000",,"CPT07",
"17311","RUC","Office Supply, Grocery","SK002","anatomical drawings (for treatment recording)","item",1.75,1.00,0.00,"000",,"CPT07",
"17311","RUC","Office Supply, Grocery","SK047","map, Moh's surgery (per sheet)","item",5.0e-03,1.00,0.00,"000",,"CPT07",
"17311","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"000",,"CPT07",
"17311","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,"CPT07",
"17311","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL030","cover slip, glass","item",0.07,10.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,1.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,8.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL120","slide container (for 20 microscope slides)","item",6.65,1.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL122","slide, microscope","item",0.05,10.00,0.00,"000",,"CPT07",
"17311","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,10.00,0.00,"000",,"CPT07",
"17311","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT07",
"17312","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT07",
"17312","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT07",
"17312","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT07",
"17312","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT07",
"17312","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"000",,"CPT07",
"17312","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"CPT07",
"17312","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17312","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,0.00,"000",,"CPT07",
"17312","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"000",,"CPT07",
"17312","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"CPT07",
"17312","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT07",
"17312","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,1.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,20.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,60.00,0.00,"000",,"CPT07",
"17312","RUC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,8.00,0.00,"000",,"CPT07",
"17312","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"CPT07",
"17312","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,0.40,0.00,"000",,"CPT07",
"17312","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"000",,"CPT07",
"17312","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17312","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"000",,"CPT07",
"17312","RUC","Office Supply, Grocery","SK002","anatomical drawings (for treatment recording)","item",1.75,1.00,0.00,"000",,"CPT07",
"17312","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"000",,"CPT07",
"17312","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"CPT07",
"17312","RUC","Lab","SL030","cover slip, glass","item",0.07,6.00,0.00,"000",,"CPT07",
"17312","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.60,0.00,"000",,"CPT07",
"17312","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,0.00,"000",,"CPT07",
"17312","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,8.00,0.00,"000",,"CPT07",
"17312","RUC","Lab","SL122","slide, microscope","item",0.05,10.00,0.00,"000",,"CPT07",
"17312","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,6.00,0.00,"000",,"CPT07",
"17312","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT07",
"17313","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT07",
"17313","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"CPT07",
"17313","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT07",
"17313","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT07",
"17313","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"000",,"CPT07",
"17313","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"CPT07",
"17313","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17313","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,1.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF024","curette, dermal","item",1.37,1.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"000",,"CPT07",
"17313","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,1.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,30.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,60.00,0.00,"000",,"CPT07",
"17313","RUC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,8.00,0.00,"000",,"CPT07",
"17313","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"CPT07",
"17313","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,0.40,0.00,"000",,"CPT07",
"17313","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"000",,"CPT07",
"17313","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17313","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"000",,"CPT07",
"17313","RUC","Office Supply, Grocery","SK002","anatomical drawings (for treatment recording)","item",1.75,1.00,0.00,"000",,"CPT07",
"17313","RUC","Office Supply, Grocery","SK047","map, Moh's surgery (per sheet)","item",5.0e-03,1.00,0.00,"000",,"CPT07",
"17313","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"000",,"CPT07",
"17313","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,"CPT07",
"17313","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL030","cover slip, glass","item",0.07,10.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,1.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,8.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL120","slide container (for 20 microscope slides)","item",6.65,1.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL122","slide, microscope","item",0.05,10.00,0.00,"000",,"CPT07",
"17313","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,10.00,0.00,"000",,"CPT07",
"17313","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT07",
"17314","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT07",
"17314","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT07",
"17314","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT07",
"17314","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT07",
"17314","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"000",,"CPT07",
"17314","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"CPT07",
"17314","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17314","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,0.00,"000",,"CPT07",
"17314","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"000",,"CPT07",
"17314","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"CPT07",
"17314","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT07",
"17314","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,1.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,20.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,60.00,0.00,"000",,"CPT07",
"17314","RUC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,8.00,0.00,"000",,"CPT07",
"17314","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000",,"CPT07",
"17314","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,0.40,0.00,"000",,"CPT07",
"17314","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"000",,"CPT07",
"17314","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,"CPT07",
"17314","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"000",,"CPT07",
"17314","RUC","Office Supply, Grocery","SK002","anatomical drawings (for treatment recording)","item",1.75,1.00,0.00,"000",,"CPT07",
"17314","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"000",,"CPT07",
"17314","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"CPT07",
"17314","RUC","Lab","SL030","cover slip, glass","item",0.07,6.00,0.00,"000",,"CPT07",
"17314","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.60,0.00,"000",,"CPT07",
"17314","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,0.00,"000",,"CPT07",
"17314","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,8.00,0.00,"000",,"CPT07",
"17314","RUC","Lab","SL122","slide, microscope","item",0.05,10.00,0.00,"000",,"CPT07",
"17314","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,6.00,0.00,"000",,"CPT07",
"17314","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT07",
"17315","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,5.00,0.00,"000",,"CPT07",
"17315","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,0.00,"000",,"CPT07",
"17315","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,0.00,"000",,"CPT07",
"17315","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,6.00,0.00,"000",,"CPT07",
"17315","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,0.00,"000",,"CPT07",
"17315","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,2.00,0.00,"000",,"CPT07",
"17340","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,,
"17360","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Feb05",
"17360","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"010",,"Feb05",
"17360","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010",,"Feb05",
"17360","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,0.00,"010",,"Feb05",
"17360","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"17360","PEAC","Pharmacy, NonRx","SJ072","brush, disposable applicator","item",0.27,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Office Supply, Grocery","SK041","ice (per cup)","item",0.05,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Lab","SL193","glycolic acid, 20-50%","ml",0.15,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Lab","SL200","sodium bicarbonate spray, 8 oz","item",9.50,1.00,0.00,"010",,"Feb05",
"17360","PEAC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"010",,"Feb05",
"17380","CMS","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"17999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"19000","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"000",,"Feb05",
"19000","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"19000","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Feb05",
"19000","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"000",,"Feb05",
"19000","PEAC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Feb05",
"19000","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"Feb05",
"19000","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Feb05",
"19000","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Feb05",
"19000","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"000",,"Feb05",
"19000","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"000",,"Feb05",
"19000","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Feb05",
"19000","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Feb05",
"19000","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Feb05",
"19000","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"000",,"Feb05",
"19001","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"ZZZ",,"Mar04","R"
"19001","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"ZZZ",,"Mar04","R"
"19001","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"ZZZ",,"Mar04","R"
"19001","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"ZZZ",,"Mar04","R"
"19001","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"ZZZ",,"Mar04","R"
"19020","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","7"
"19020","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,5.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,2.00,1.00,"090",,"Mar03","7"
"19020","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,2.00,1.00,"090",,"Mar03","7"
"19020","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,2.00,1.00,"090",,"Mar03","7"
"19020","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"19020","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"Mar03","7"
"19030","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Hypodermic, IV","SC047","sialography infusion unit","item",24.00,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Accessory, Procedure","SD042","dilator, ductal, galactography","item",8.00,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"000",,"Mar04","R"
"19030","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Mar04","R"
"19100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"19100","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"19100","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"19100","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"19100","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"19100","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,,
"19100","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"19100","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"19100","PEAC","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"000",,,
"19100","PEAC","Hypodermic, IV","SC032","needle, biopsy for breast-prostate core sample","item",28.42,1.00,,"000",,,
"19100","PEAC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"19100","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"19100","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,90.00,,"000",,,
"19100","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"19101","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,,
"19101","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"19101","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"19101","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"010",,,
"19101","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"010",,,
"19101","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"010",,,
"19101","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"19101","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"010",,,
"19101","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"010",,,
"19101","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"19101","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"19101","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,,
"19101","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"19101","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,,"010",,,
"19101","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"19101","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"19101","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"19101","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"19101","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"19101","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"19101","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,4.00,"010",,,
"19101","PEAC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,7.00,,"010",,,
"19101","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"19101","PEAC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"010",,,
"19101","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,186.00,60.00,"010",,,
"19101","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"19101","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,15.00,15.00,"010",,,
"19102","RUC","Gown, Drape","SB018","drape-sleeve, sterile, for handpiece","item",0.08,1.00,,"000",,,
"19102","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,,
"19102","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"19102","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"19102","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"19102","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"19102","RUC","Hypodermic, IV","SC032","needle, biopsy for breast-prostate core sample","item",28.42,1.00,,"000",,,
"19102","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"19102","RUC","Accessory, Procedure","SD087","guide, needle, for localization","item",10.75,1.00,,"000",,,
"19102","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"19102","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"19102","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"19102","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"19102","RUC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"000",,,
"19102","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"19102","RUC","Pharmacy, Rx","SH063","Sensorcaine 0.5% inj","ml",0.36,1.00,,"000",,,
"19102","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"000",,,
"19102","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,,"000",,,
"19102","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"19102","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"19102","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"000",,,
"19103","RUC","Gown, Drape","SB018","drape-sleeve, sterile, for handpiece","item",0.08,1.00,,"000",,,
"19103","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,,"000",,,
"19103","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"19103","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"19103","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"19103","RUC","Hypodermic, IV","SC022","Mammotome probe guide","item",7.00,1.00,,"000",,,
"19103","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"19103","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"19103","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,1.00,,"000",,,
"19103","RUC","Accessory, Procedure","SD087","guide, needle, for localization","item",10.75,1.00,,"000",,,
"19103","RUC","Accessory, Procedure","SD094","Mammotome probe","item",200.00,1.00,,"000",,,
"19103","RUC","Accessory, Procedure","SD135","tubing, vacuum (for Mammotome device)","item",16.00,1.00,,"000",,,
"19103","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"19103","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,,
"19103","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"19103","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"19103","RUC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"000",,,
"19103","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"19103","RUC","Pharmacy, Rx","SH063","Sensorcaine 0.5% inj","ml",0.36,1.00,,"000",,,
"19103","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"000",,,
"19103","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,,"000",,,
"19103","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"19103","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"19103","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"000",,,
"19105","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT07",
"19105","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT07",
"19105","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT07",
"19105","RUC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,2.00,,"000",,"CPT07",
"19105","RUC","Gown, Drape","SB018","drape-sleeve, sterile, for handpiece","item",0.08,1.00,,"000",,"CPT07",
"19105","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"000",,"CPT07",
"19105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT07",
"19105","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"CPT07",
"19105","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"000",,"CPT07",
"19105","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT07",
"19105","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,"CPT07",
"19105","RUC","Accessory, Procedure","SD079","gas, helium","cu ft",0.25,55.00,,"000",,"CPT07",
"19105","RUC","Accessory, Procedure","SD227","gas, argon","cu ft",0.25,144.00,0.00,"000",,"CPT07",
"19105","RUC","Accessory, Procedure","SD232","probe, cryoablation (Visica ICE 30 or 40)","item",1589.00,1.00,0.00,"000",,"CPT07",
"19105","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT07",
"19105","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,"CPT07",
"19105","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT07",
"19105","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT07",
"19105","RUC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"000",,"CPT07",
"19105","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,"CPT07",
"19105","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,"CPT07",
"19105","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"000",,"CPT07",
"19105","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,50.00,,"000",,"CPT07",
"19105","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"000",,"CPT07",
"19105","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"000",,"CPT07",
"19105","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT07",
"19105","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,,"000",,"CPT07",
"19105","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"000",,"CPT07",
"19110","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","7"
"19110","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,5.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"19110","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","7"
"19112","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,5.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"19112","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"Mar03","7"
"19120","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"19120","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,,
"19120","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"19120","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"19120","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"090",,,
"19120","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"19120","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"19120","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"090",,,
"19120","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,,
"19120","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"090",,,
"19120","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,,
"19120","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,,
"19120","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,,"090",,,
"19120","PEAC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,2.00,,"090",,,
"19120","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"090",,,
"19120","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,60.00,,"090",,,
"19120","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,15.00,,"090",,,
"19120","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"090",,,
"19120","PEAC","Lab","SL072","formalin","ml",9.0e-03,10.00,,"090",,,
"19120","PEAC","Infection Control","SM011","cleaning brush, instruments","item",1.95,1.00,,"090",,,
"19125","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"19125","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,,
"19125","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,,
"19125","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"19125","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"090",,,
"19125","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"19125","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,,
"19125","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"090",,,
"19125","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,,
"19125","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"090",,,
"19125","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,,
"19125","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,,
"19125","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,,"090",,,
"19125","PEAC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,2.00,,"090",,,
"19125","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"090",,,
"19125","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,60.00,,"090",,,
"19125","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,15.00,,"090",,,
"19125","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"090",,,
"19125","PEAC","Lab","SL072","formalin","ml",9.0e-03,10.00,,"090",,,
"19125","PEAC","Infection Control","SM011","cleaning brush, instruments","item",1.95,1.00,,"090",,,
"19125","CMS","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"090",,,
"19126","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"19260","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"19260","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19260","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.50,"090",,,
"19260","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,,3.00,"090",,,
"19260","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,,3.00,"090",,,
"19260","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"19260","PEAC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,,3.00,"090",,,
"19260","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,480.00,"090",,,
"19271","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,,
"19271","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19271","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.50,"090",,,
"19271","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,,5.00,"090",,,
"19271","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,,5.00,"090",,,
"19271","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"19271","PEAC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,,5.00,"090",,,
"19271","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"19272","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,,
"19272","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19272","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,7.00,"090",,,
"19272","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,,5.00,"090",,,
"19272","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,,5.00,"090",,,
"19272","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"19272","PEAC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,,5.00,"090",,,
"19272","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"19290","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"19290","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"19290","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"19290","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"19290","PEAC","Hypodermic, IV","SC045","needle-wire for localization","item",15.00,1.00,,"000",,,
"19290","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"19290","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,,
"19290","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"19290","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,,"000",,,
"19290","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"19291","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Hypodermic, IV","SC045","needle-wire for localization","item",15.00,1.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"ZZZ",,"Mar04","R"
"19291","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"ZZZ",,"Mar04","R"
"19295","PEAC","Accessory, Procedure","SD037","clip, tissue marker","item",75.00,1.00,0.00,"ZZZ",,"Mar04","R"
"19296","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"19296","RUC","Kit, Pack, Tray","SA087","tray, RTS applicator (MammoSite)","item",2550.00,1.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,,
"19296","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,,
"19296","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"000",,,
"19296","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,,
"19296","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,,
"19296","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,,
"19296","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,,
"19296","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,,
"19296","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"000",,,
"19296","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,,
"19296","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,,
"19296","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"19296","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,240.00,0.00,"000",,,
"19296","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,5.00,0.00,"000",,,
"19296","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,0.00,"000",,,
"19296","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"000",,,
"19297","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"19298","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,,
"19298","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,,
"19298","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,,
"19298","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"000",,,
"19298","RUC","Hypodermic, IV","SC073","implant catheter, button-end, single leader","item",18.50,30.00,0.00,"000",,,
"19298","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,,
"19298","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,,
"19298","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,,
"19298","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,,
"19298","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,,
"19298","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"000",,,
"19298","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,,
"19298","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,,
"19298","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"19298","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,240.00,0.00,"000",,,
"19298","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,5.00,0.00,"000",,,
"19298","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,0.00,"000",,,
"19298","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"000",,,
"19300","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,,"cs"
"19300","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,,
"19300","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"090",,,
"19300","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"090",,,
"19300","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,3.50,3.50,"090",,,
"19300","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"19300","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,6.00,,"090",,,
"19300","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"090",,,
"19300","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"090",,,
"19300","PEAC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"090",,,
"19300","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,1.00,"090",,,
"19300","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,1.00,"090",,,
"19300","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,1.00,"090",,,
"19300","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,1.00,"090",,,
"19300","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"090",,,
"19300","PEAC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"090",,,
"19300","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"090",,,
"19300","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"090",,,
"19300","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,2.00,,"090",,,
"19300","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,,
"19300","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,,
"19300","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"19300","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,,
"19300","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,,"090",,,
"19300","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,1.00,"090",,,
"19300","PEAC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,7.00,,"090",,,
"19300","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,14.00,4.00,"090",,,
"19300","PEAC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"090",,,
"19300","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"090",,,
"19300","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,52.00,2.00,"090",,,
"19300","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"090",,,
"19300","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,15.00,,"090",,,
"19300","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,10.00,"090",,,"cs"
"19300","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,1.00,"090",,,
"19300","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"090",,,
"19301","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"19301","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19301","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.50,"090",,,
"19301","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"19301","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,1.00,"090",,,
"19301","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"19301","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"19301","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"19301","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"19301","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,2.00,"090",,,
"19301","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"19301","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,10.00,"090",,,
"19301","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"19302","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"19302","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19302","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT12","5 Year"
"19302","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,2.00,"090",,,
"19302","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,2.00,"090",,,
"19302","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"19302","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"19302","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"19302","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,7.00,"090",,"CPT12","5 Year"
"19302","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,3.00,"090",,"CPT12","5 Year"
"19302","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,,
"19302","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,17.00,"090",,"CPT12","5 Year"
"19302","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"19303","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"19303","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19303","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"19303","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,2.00,"090",,,
"19303","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,2.00,"090",,,
"19303","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"19303","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"19303","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"19303","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"19303","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,4.00,"090",,,
"19303","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,,
"19303","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"19303","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"19304","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"19304","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19304","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.50,"090",,,
"19304","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,2.00,"090",,,
"19304","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,2.00,"090",,,
"19304","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"19304","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"19304","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"19304","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"19304","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,4.00,"090",,,
"19304","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,,
"19304","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"19304","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"19305","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"19305","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19305","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.50,"090",,,
"19305","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,2.00,"090",,,
"19305","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,2.00,"090",,,
"19305","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"19305","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"19305","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,,1.00,"090",,,
"19305","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,,1.00,"090",,,
"19305","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"19305","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"19305","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,8.00,"090",,,
"19305","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,,
"19305","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"19305","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"19306","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"19306","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19306","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.50,"090",,,
"19306","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,2.00,"090",,,
"19306","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,2.00,"090",,,
"19306","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"19306","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"19306","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,,1.00,"090",,,
"19306","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,,1.00,"090",,,
"19306","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"19306","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"19306","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,8.00,"090",,,
"19306","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,,
"19306","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"19306","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"19307","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"19307","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"19307","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.50,"090",,,
"19307","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,2.00,"090",,,
"19307","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,,2.00,"090",,,
"19307","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"19307","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"19307","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,,1.00,"090",,,
"19307","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,,1.00,"090",,,
"19307","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"19307","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"19307","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,8.00,"090",,,
"19307","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,,
"19307","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"19307","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"19316","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19316","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"19316","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"19316","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"19316","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"19316","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"19318","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"19318","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,2.00,"090",,,
"19324","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19324","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"19324","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"19324","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"19324","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"19324","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"19325","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19325","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"19325","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"19325","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"19325","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"19325","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"19328","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19328","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"19328","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"19328","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"19328","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"19328","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"19330","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"19330","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"19330","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"19330","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,2.00,"090",,,
"19330","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"19330","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,,
"19340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Oct09",
"19340","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Oct09",
"19342","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"19342","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"19342","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"19342","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"19342","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"19342","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"19350","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"19350","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"19350","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,5.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"19350","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"19355","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"19355","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,4.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"19355","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"19357","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,10.00,"090",,"CPT11","46"
"19357","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,0.00,1.00,"090",,"CPT11","46"
"19357","RUC","Kit, Pack, Tray","SA108","kit, tissue expansion","kit",8.31,0.00,8.00,"090",,"CPT11","46"
"19361","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT07",
"19361","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT07",
"19361","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"090",,,
"19364","PEAC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,2.00,"090",,,
"19364","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"19364","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"19364","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"19364","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"19364","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"19364","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"19364","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"19366","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"090",,,
"19367","PEAC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,2.00,"090",,,
"19367","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,4.00,"090",,,
"19367","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"19367","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"19367","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"19367","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"19367","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"19367","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"19368","PEAC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,2.00,"090",,,
"19368","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"19368","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"19368","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"19368","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"19368","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"19368","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"19368","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"19369","PEAC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,2.00,"090",,,
"19369","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"19369","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"19369","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"19369","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"19369","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"19369","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"19369","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"19370","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19370","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"19370","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,3.00,"090",,,
"19370","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,3.00,"090",,,
"19370","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,
"19370","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"19371","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19371","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"19371","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"19371","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"19371","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"19371","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"19380","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090",,,
"19380","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"19380","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"19380","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,4.00,"090",,,
"19380","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"19380","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"19396","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"19396","PEAC","Kit, Pack, Tray","SA090","kit, moulage (implantech)","kit",75.00,1.00,0.00,"000",,"Feb05",
"19396","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Feb05",
"19396","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000","Feb05","Feb05",
"19396","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000","93000","Feb05",
"19396","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Feb05",
"19396","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Feb05",
"19396","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,0.00,"000","Feb05","Feb05",
"19396","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,0.00,"000","Feb05","Feb05",
"19396","PEAC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,0.00,"000","Feb05","Feb05",
"19499","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"20005","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"20005","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"20005","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"20005","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"20100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar04","U"
"20100","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Mar04","U"
"20101","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","7"
"20101","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,30.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","7"
"20101","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","7"
"20102","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,30.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","7"
"20102","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"010",,"Mar03","7"
"20103","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"20103","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"20103","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,108.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"20103","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"20150","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Jan04","5"
"20150","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Jan04","5"
"20200","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"20200","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"20200","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"000",,,
"20200","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"000",,,
"20200","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"000",,,
"20200","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"000",,,
"20200","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"20200","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"20200","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"20200","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"20200","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20200","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20200","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"20200","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"20200","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,,
"20200","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"20200","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"20200","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"20200","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20200","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"20200","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"20200","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"20200","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"20200","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"20200","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"20205","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"20205","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"20205","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"20205","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"000",,,
"20205","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"000",,,
"20205","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"000",,,
"20205","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"000",,,
"20205","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"20205","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"20205","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"20205","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"20205","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20205","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20205","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"20205","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"20205","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"000",,,
"20205","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"20205","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"20205","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,,
"20205","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20205","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"20205","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"20205","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"20205","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"20205","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"20205","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"20206","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Hypodermic, IV","SC033","needle, biopsy, spring-loaded","item",19.00,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,"Jan04","5"
"20206","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Kit, Pack, Tray","SA062","tray, bone marrow biopsy-aspiration","tray",34.47,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,0.00,"000",,"Jan04","5"
"20220","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Hypodermic, IV","SC077","needle, bone biopsy","item",65.00,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,0.00,"000",,"Jan04","5"
"20225","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"Jan04","5"
"20240","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"20240","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Mar03","6"
"20245","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"010",,"Mar03","6"
"20245","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Mar03","6"
"20250","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Jan04","5"
"20250","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Jan04","5"
"20251","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Jan04","5"
"20251","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Jan04","5"
"20500","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"20500","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Sep04",
"20500","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"20500","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Sep04",
"20500","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"20500","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"20500","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"Sep04",
"20500","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Sep04",
"20500","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"010",,"Sep04",
"20500","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,0.00,"010",,"Sep04",
"20500","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Sep04",
"20501","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"20501","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,,"000",,,
"20501","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"20501","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"20501","PEAC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"20501","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"20501","PEAC","Accessory, Procedure","SD029","catheter, red rubber","item",0.97,1.00,,"000",,,
"20501","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20501","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20501","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"20520","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"20520","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"20520","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"20520","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"20525","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"20525","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,108.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"20525","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"20526","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"20526","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"20526","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20526","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20526","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20526","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20526","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"20526","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"20527","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT12","May 2"
"20527","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT12","May 2"
"20527","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"CPT12","May 2"
"20527","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,,"000",,"CPT12","May 2"
"20527","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"000",,"CPT12","May 2"
"20527","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT12","May 2"
"20527","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"CPT12","May 2"
"20527","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT12","May 2"
"20550","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"20550","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"20550","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20550","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20550","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20550","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20550","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"20550","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"20551","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"20551","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"20551","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20551","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20551","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20551","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20551","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"20551","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"20552","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"20552","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"20552","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20552","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20552","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20552","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20552","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"20552","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"20553","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"20553","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"20553","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20553","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20553","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20553","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20553","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"20553","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"20555","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08","2"
"20600","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT13","May 42"
"20600","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 42"
"20600","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"CPT13","May 42"
"20600","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,"CPT13","May 42"
"20600","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,"CPT13","May 42"
"20600","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 42"
"20600","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,"CPT13","May 42"
"20600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 42"
"20600","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 42"
"20605","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT13","May 42"
"20605","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 42"
"20605","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"CPT13","May 42"
"20605","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,"CPT13","May 42"
"20605","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,"CPT13","May 42"
"20605","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 42"
"20605","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,,"000",,"CPT13","May 42"
"20605","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 42"
"20605","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 42"
"20610","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT13","May 42"
"20610","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 42"
"20610","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"CPT13","May 42"
"20610","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT13","May 42"
"20610","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,"CPT13","May 42"
"20610","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 42"
"20610","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"000",,"CPT13","May 42"
"20610","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 42"
"20610","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT13","May 42"
"20612","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"20612","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"20612","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"000",,,
"20612","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"000",,,
"20612","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"20612","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"20612","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"20612","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"20612","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"20615","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"20615","PEAC","Kit, Pack, Tray","SA062","tray, bone marrow biopsy-aspiration","tray",34.47,1.00,0.00,"010",,"Mar03","6"
"20615","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","6"
"20615","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"20615","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"20650","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Cutters, Closures, Cautery","SF042","wire, Kirschner 7.5in","item",4.80,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"20650","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"20660","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08",
"20661","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"20661","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"20662","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"20663","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"20664","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","20661",,
"20664","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"20665","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"20665","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"20665","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"20665","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"010",,,
"20665","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"20665","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"010",,,
"20665","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,,"010",,,
"20665","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,,"010",,,
"20665","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,5.00,,"010",,,
"20670","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","D"
"20670","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar04","D"
"20670","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB013","drape, sterile, hand-upper extremity","item",18.07,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,3.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","D"
"20670","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar04","D"
"20680","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"20680","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"20680","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"20680","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"20690","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","4*"
"20692","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"CPT08","4*"
"20693","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"20693","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"20694","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"20694","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,2.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"20694","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"20696","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"CPT09","3"
"20697","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"CPT09","3"
"20697","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT09","3"
"20697","RUC","Accessory, Procedure","SD240","strut, replacement, dynamic external fixation","item",1151.00,1.00,0.00,"000",,"CPT09","3"
"20802","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,,
"20802","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20805","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"20805","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"20808","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"20808","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"20816","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"20816","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"20822","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"20822","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"20824","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"20824","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"20827","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"20827","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"20838","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"20838","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"20838","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"20838","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"20838","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"20900","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Apr08","ss"
"20900","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"000",,"Apr08","ss"
"20902","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"20910","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"20910","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"20912","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"20912","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"20920","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"20920","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20922","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"20922","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"20922","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"20922","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"20924","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"20924","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20926","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"20926","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20930","CMS","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"20931","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","20690",,
"20936","CMS","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"20937","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","20690",,
"20938","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","20690",,
"20950","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","6"
"20950","PEAC","Kit, Pack, Tray","SA078","kit, slit catheter (for compartment pressure monitor)","kit",73.75,1.00,0.00,"000",,"Mar03","6"
"20950","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar03","6"
"20950","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar03","6"
"20950","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Mar03","6"
"20950","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Mar03","6"
"20955","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"20955","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20956","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090","20955",,
"20956","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","20955",,
"20957","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,8.00,"090","20955",,
"20957","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","20955",,
"20962","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,8.00,"090",,,
"20962","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20969","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"20969","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20970","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"20970","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"20972","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Aug03","5"
"20972","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"20973","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"20973","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"20974","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","6"
"20975","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"20979","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"20982","RUC","Kit, Pack, Tray","SA026","kit, radiofrequency introducer","kit",50.00,1.00,,"000",,,
"20982","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"20982","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"20982","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,,"000",,,
"20982","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"20982","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"20982","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"000",,,
"20982","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,,
"20982","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"20982","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,,
"20982","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"20982","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"20982","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"20982","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"20982","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"20982","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"20982","RUC","Accessory, Procedure","SD109","probe, radiofrequency, 3 array (StarBurstSDE)","item",1995.00,1.00,0.00,"000",,,
"20982","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"20982","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"20982","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,,
"20982","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"000",,,
"20982","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"20982","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"20982","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"20982","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,,
"20982","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,,
"20982","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"20982","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,,"000",,,
"20982","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"20982","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,,"000",,,
"20999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"21010","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21010","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,"Apr06","J"
"21011","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","27"
"21011","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","27"
"21011","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","27"
"21011","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","27"
"21011","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","27"
"21011","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"090",,"CPT10","27"
"21011","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","27"
"21011","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","27"
"21011","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","27"
"21012","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"21012","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21013","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","27"
"21013","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","27"
"21013","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","27"
"21013","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","27"
"21013","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","27"
"21013","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"090",,"CPT10","27"
"21013","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","27"
"21013","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","27"
"21013","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","27"
"21014","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"21014","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21015","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"21015","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"21016","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"21016","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21025","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Mar03","9"
"21025","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"Mar03","9"
"21025","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,5.00,4.00,"090",,"Mar03","9"
"21025","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"Mar03","9"
"21025","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21025","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Mar03","9"
"21026","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"Mar03","9"
"21026","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,5.00,4.00,"090",,"Mar03","9"
"21026","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"Mar03","9"
"21026","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21026","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","9"
"21029","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,4.00,3.00,"090",,"Mar03","9"
"21029","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,3.00,"090",,"Mar03","9"
"21029","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.00,3.00,"090",,"Mar03","9"
"21029","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21029","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","9"
"21030","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,4.00,3.00,"090",,"Mar03","9"
"21030","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,3.00,"090",,"Mar03","9"
"21030","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.00,3.00,"090",,"Mar03","9"
"21030","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21030","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","9"
"21031","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"21031","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"21031","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"21031","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21031","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","9"
"21032","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"21032","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"21032","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"21032","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21032","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Mar03","9"
"21034","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"Mar03","9"
"21034","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,5.00,4.00,"090",,"Mar03","9"
"21034","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"Mar03","9"
"21034","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21034","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","9"
"21040","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,4.00,3.00,"090",,"Mar03","9"
"21040","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,3.00,"090",,"Mar03","9"
"21040","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.00,3.00,"090",,"Mar03","9"
"21040","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"21040","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","9"
"21044","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar03","9"
"21044","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar03","9"
"21044","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar03","9"
"21044","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar03","9"
"21044","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,"Mar03","9"
"21045","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar03","9"
"21045","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar03","9"
"21045","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar03","9"
"21045","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar03","9"
"21045","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Mar03","9"
"21046","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"21046","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"21046","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,6.00,"090",,,
"21046","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"21046","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"21046","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,6.00,"090",,,
"21046","RUC","Gown, Drape","SB038","safety glasses","item",2.90,,6.00,"090",,,
"21046","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,,6.00,"090",,,
"21046","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,3.00,"090",,,
"21046","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,3.00,"090",,,
"21046","RUC","Accessory, Procedure","SD006","bite block","item",1.50,,2.00,"090",,,
"21046","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"21046","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"21046","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,,3.00,"090",,,
"21046","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,,24.00,"090",,,
"21046","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,24.00,"090",,,
"21046","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,4.50,"090",,,
"21046","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,18.00,"090",,,
"21046","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,18.00,"090",,,
"21047","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"21047","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21048","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"21048","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"21048","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,6.00,"090",,,
"21048","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"21048","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"21048","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,6.00,"090",,,
"21048","RUC","Gown, Drape","SB038","safety glasses","item",2.90,,6.00,"090",,,
"21048","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,,6.00,"090",,,
"21048","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,3.00,"090",,,
"21048","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,3.00,"090",,,
"21048","RUC","Accessory, Procedure","SD006","bite block","item",1.50,,2.00,"090",,,
"21048","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"21048","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"21048","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,,3.00,"090",,,
"21048","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,,24.00,"090",,,
"21048","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,24.00,"090",,,
"21048","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,4.50,"090",,,
"21048","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,18.00,"090",,,
"21048","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,18.00,"090",,,
"21049","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"21049","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21050","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar03","9"
"21050","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar03","9"
"21050","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar03","9"
"21050","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar03","9"
"21050","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Mar03","9"
"21060","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar03","9"
"21060","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar03","9"
"21060","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar03","9"
"21060","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar03","9"
"21060","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,"Mar03","9"
"21070","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar03","9"
"21070","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar03","9"
"21070","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar03","9"
"21070","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar03","9"
"21070","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,"Mar03","9"
"21073","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","6"
"21073","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"090",,"CPT08","6"
"21073","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,5.00,4.00,"090",,"CPT08","6"
"21073","RUC","Accessory, Procedure","SD006","bite block","item",1.50,2.00,0.00,"090",,"CPT08","6"
"21073","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"CPT08","6"
"21073","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"CPT08","6"
"21073","RUC","Accessory, Procedure","SD142","bur, surgical, sterile (drill)","item",4.79,1.00,0.00,"090",,"CPT08","6"
"21073","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,6.00,0.00,"090",,"CPT08","6"
"21073","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,"CPT08","6"
"21073","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"CPT08","6"
"21073","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"CPT08","6"
"21073","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"CPT08","6"
"21073","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,54.00,0.00,"090",,"CPT08","6"
"21073","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,5.00,4.00,"090",,"CPT08","6"
"21073","RUC","Office Supply, Grocery","SK109","paper, articulating","item",0.02,,0.00,"090",,"CPT08","6"
"21076","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,,
"21076","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"010","21079","Final","06"
"21076","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"010","21079","Final","06"
"21076","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"010","21079","Final","06"
"21076","CMS","Cutters, Closures, Cautery","SF054","wire, orthodontic","item",,1.00,,"010",,"Final","06"
"21076","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"010","21079","Final","06"
"21076","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"010","21079","Final","06"
"21076","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"010","21079","Final","06"
"21076","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"010","21079","Final","06"
"21076","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"010",,"Final","06"
"21076","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,16.00,,"010",,"Final","06"
"21076","CMS","Pharmacy, NonRx","SJ085","triad tray material","item",,2.00,,"010",,"Final","06"
"21076","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"010",,"Final","06"
"21076","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"010",,"Final","06"
"21076","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,3.00,,"010",,"Final","06"
"21076","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"010","21079","Final","06"
"21076","CMS","Lab","SL047","dental stone powder","lb",1.59,1.00,,"010","21079","Final","06"
"21076","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"010","21079","Final","06"
"21076","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"010","21079","Final","06"
"21076","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"010",,"Final","06"
"21076","CMS","Lab","SL236","reline material, Trusoft","gm",,45.00,,"010",,"Final","06"
"21077","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,,
"21077","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090","21088","Final","06"
"21077","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090","21088","Final","06"
"21077","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090","21088","Final","06"
"21077","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21077","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090","21088","Final","06"
"21077","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090","21088","Final","06"
"21077","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090","21088","Final","06"
"21077","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090","21088","Final","06"
"21077","CMS","Pharmacy, NonRx","SJ079","basin, sterile 500cc","item",3.00,30.00,,"090",,"Final","06"
"21077","CMS","Pharmacy, NonRx","SJ080","lens cleaner, daily (Allergan)","ounce",0.42,1.00,,"090",,"Final","06"
"21077","CMS","Pharmacy, NonRx","SJ083","polyurethane sheets (quantity as rolls)","roll",,0.05,,"090",,"Final","06"
"21077","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21077","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21077","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090","21088","Final","06"
"21077","CMS","Lab","SL047","dental stone powder","lb",1.59,1.00,,"090","21088","Final","06"
"21077","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090","21088","Final","06"
"21077","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090","21088","Final","06"
"21077","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21077","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21077","CMS","Lab","SL237","silicone","gm",,57.00,,"090",,"Final","06"
"21079","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,0.00,"010",,,
"21079","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21079","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21079","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21079","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21079","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"090",,"Final","06"
"21079","CMS","Cutters, Closures, Cautery","SF054","wire, orthodontic","item",,1.00,,"090",,"Final","06"
"21079","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21079","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ084","teeth set","item",,1.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21079","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21079","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"090",,"Final","06"
"21079","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,6.00,,"090",,"Final","06"
"21079","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21079","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21079","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21079","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21079","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21079","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"090",,"Final","06"
"21079","CMS","Lab","SL236","reline material, Trusoft","gm",,45.00,,"090",,"Final","06"
"21080","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,0.00,"010",,,
"21080","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21080","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21080","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21080","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21080","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"090",,"Final","06"
"21080","CMS","Cutters, Closures, Cautery","SF054","wire, orthodontic","item",,1.00,,"090",,"Final","06"
"21080","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21080","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ084","teeth set","item",,1.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21080","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21080","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"090",,"Final","06"
"21080","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,6.00,,"090",,"Final","06"
"21080","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21080","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21080","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21080","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21080","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21080","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"090",,"Final","06"
"21080","CMS","Lab","SL228","Greenstick compound","item",,5.00,,"090",,"Final","06"
"21080","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21081","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,0.00,"010",,"Final","06"
"21081","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21081","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21081","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21081","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21081","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"090",,"Final","06"
"21081","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21081","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ084","teeth set","item",,1.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21081","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21081","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,2.00,,"090",,"Final","06"
"21081","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,6.00,,"090",,"Final","06"
"21081","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21081","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21081","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21081","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21081","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21081","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"090",,"Final","06"
"21081","CMS","Lab","SL228","Greenstick compound","item",,5.00,,"090",,"Final","06"
"21081","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21081","CMS","Lab","SL236","reline material, Trusoft","gm",,45.00,,"090",,"Final","06"
"21082","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,0.00,"010",,,
"21082","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21082","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21082","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21082","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21082","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"090",,"Final","06"
"21082","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21082","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ085","triad tray material","item",,3.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21082","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21082","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"090",,"Final","06"
"21082","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,6.00,,"090",,"Final","06"
"21082","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21082","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21082","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21082","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21082","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21082","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"090",,"Final","06"
"21082","CMS","Lab","SL228","Greenstick compound","item",,1.00,,"090",,"Final","06"
"21082","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21082","CMS","Lab","SL236","reline material, Trusoft","gm",,45.00,,"090",,"Final","06"
"21083","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,0.00,"010",,,
"21083","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21083","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21083","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21083","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21083","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"090",,"Final","06"
"21083","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21083","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ085","triad tray material","item",,2.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21083","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21083","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"090",,"Final","06"
"21083","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,6.00,,"090",,"Final","06"
"21083","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21083","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21083","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21083","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21083","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21083","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"090",,"Final","06"
"21083","CMS","Lab","SL228","Greenstick compound","item",,1.00,,"090",,"Final","06"
"21083","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21083","CMS","Lab","SL236","reline material, Trusoft","gm",,45.00,,"090",,"Final","06"
"21084","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,0.00,"010",,,
"21084","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21084","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21084","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21084","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21084","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"090",,"Final","06"
"21084","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21084","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ085","triad tray material","item",,2.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21084","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21084","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"090",,"Final","06"
"21084","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,3.00,,"090",,"Final","06"
"21084","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21084","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21084","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21084","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21084","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21084","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"090",,"Final","06"
"21084","CMS","Lab","SL228","Greenstick compound","item",,1.00,,"090",,"Final","06"
"21084","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21084","CMS","Lab","SL236","reline material, Trusoft","gm",,45.00,,"090",,"Final","06"
"21085","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,,
"21085","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"010",,"Final","06"
"21085","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"010",,"Final","06"
"21085","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"010",,"Final","06"
"21085","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"010",,"Final","06"
"21085","CMS","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,2.00,,"010",,"Final","06"
"21085","CMS","Cutters, Closures, Cautery","SF054","wire, orthodontic","item",,1.00,,"010",,"Final","06"
"21085","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"010",,"Final","06"
"21085","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"010",,"Final","06"
"21085","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"010",,"Final","06"
"21085","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"010",,"Final","06"
"21085","CMS","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,24.00,,"010",,"Final","06"
"21085","CMS","Pharmacy, NonRx","SJ082","paste, registration","gm",,8.00,,"010",,"Final","06"
"21085","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"010",,"Final","06"
"21085","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"010",,"Final","06"
"21085","CMS","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,,"010",,"Final","06"
"21085","CMS","Office Supply, Grocery","SK109","paper, articulating","item",0.02,3.00,,"010",,"Final","06"
"21085","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"010",,"Final","06"
"21085","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"010",,"Final","06"
"21085","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"010",,"Final","06"
"21085","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"010",,"Final","06"
"21085","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"010",,"Final","06"
"21085","CMS","Lab","SL208","alloy framework, laboratory processing","item",,1.00,,"010",,"Final","06"
"21085","CMS","Lab","SL228","Greenstick compound","item",,1.00,,"010",,"Final","06"
"21085","CMS","Lab","SL230","impression material, final","ml",,6.00,,"010",,"Final","06"
"21086","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,,
"21086","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21086","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21086","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21086","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21086","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21086","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21086","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21086","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21086","CMS","Pharmacy, NonRx","SJ079","basin, sterile 500cc","item",3.00,30.00,,"090",,"Final","06"
"21086","CMS","Pharmacy, NonRx","SJ083","polyurethane sheets (quantity as rolls)","roll",,0.50,,"090",,"Final","06"
"21086","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21086","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21086","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21086","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21086","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21086","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21086","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21086","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21086","CMS","Lab","SL237","silicone","gm",,57.00,,"090",,"Final","06"
"21087","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,,
"21087","CMS","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,"Final","06"
"21087","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,"Final","06"
"21087","CMS","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,"Final","06"
"21087","CMS","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,,"090",,"Final","06"
"21087","CMS","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,"Final","06"
"21087","CMS","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,"Final","06"
"21087","CMS","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,"Final","06"
"21087","CMS","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,"Final","06"
"21087","CMS","Pharmacy, NonRx","SJ079","basin, sterile 500cc","item",3.00,30.00,,"090",,"Final","06"
"21087","CMS","Pharmacy, NonRx","SJ083","polyurethane sheets (quantity as rolls)","roll",,0.50,,"090",,"Final","06"
"21087","CMS","Pharmacy, NonRx","SJ086","wax, baseplate","gm",,45.00,,"090",,"Final","06"
"21087","CMS","Pharmacy, NonRx","SJ087","wax, boxing","gm",,45.00,,"090",,"Final","06"
"21087","CMS","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,"Final","06"
"21087","CMS","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,"Final","06"
"21087","CMS","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,"Final","06"
"21087","CMS","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,"Final","06"
"21087","CMS","Lab","SL205","acylic, dental","gm",,45.00,,"090",,"Final","06"
"21087","CMS","Lab","SL230","impression material, final","ml",,6.00,,"090",,"Final","06"
"21087","CMS","Lab","SL237","silicone","gm",,57.00,,"090",,"Final","06"
"21088","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,,
"21088","CPEP","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,14.00,,"090",,,
"21088","CPEP","Gown, Drape","SB037","pillow case","item",0.30,6.00,,"090",,,
"21088","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,14.00,,"090",,,
"21088","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"090",,,
"21088","CPEP","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"090",,,
"21088","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"090",,,
"21088","CPEP","Lab","SL046","dental impression tray","item",0.44,1.00,,"090",,,
"21088","CPEP","Lab","SL047","dental stone powder","lb",1.59,0.75,,"090",,,
"21088","CPEP","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,,"090",,,
"21088","CPEP","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,,"090",,,
"21089","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"21100","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21100","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,6.00,5.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Accessory, Procedure","SD200","screw, surgical, self-tapping, 1.5-2.0mm","item",27.00,6.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,3.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,12.00,10.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,6.00,5.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,50.00,50.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"090",,"Aug03","6"
"21100","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,5.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21110","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21110","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Aug03","6"
"21110","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21110","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21110","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,12.00,10.00,"090",,"Aug03","6"
"21110","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21110","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21110","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,6.00,5.00,"090",,"Aug03","6"
"21110","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,6.00,5.00,"090",,"Aug03","6"
"21116","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Jan04","7"
"21116","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Jan04","7"
"21116","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","7"
"21116","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Jan04","7"
"21120","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","I"
"21120","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.50,2.50,"090",,"Mar04","I"
"21120","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,5.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,5.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,4.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,4.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.50,3.50,"090",,"Mar04","I"
"21120","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,1.00,"090",,"Mar04","I"
"21120","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,10.00,3.00,"090",,"Mar04","I"
"21120","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,24.00,12.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,4.00,2.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,10.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"21120","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","I"
"21121","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.50,2.50,"090",,"Mar04","I"
"21121","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,5.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,5.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,4.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,4.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.50,3.50,"090",,"Mar04","I"
"21121","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,1.00,"090",,"Mar04","I"
"21121","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,10.00,3.00,"090",,"Mar04","I"
"21121","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,24.00,12.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,4.00,2.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,10.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"21121","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"090",,"Mar04","I"
"21122","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21122","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"21122","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21122","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21122","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21122","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21122","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21122","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21122","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Mar04","I"
"21122","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,1.00,"090",,"Mar04","I"
"21122","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"21122","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,,12.00,"090",,"Mar04","I"
"21122","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21122","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21123","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21123","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"21123","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21123","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21123","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21123","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21123","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21123","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21123","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Mar04","I"
"21123","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,,1.00,"090",,"Mar04","I"
"21123","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"21123","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,,12.00,"090",,"Mar04","I"
"21123","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21123","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21125","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21125","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,2.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,10.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD191","plate, surgical, reconstruction, left, 5 x 16 hole","item",719.00,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD192","plate, surgical, reconstruction, template, 5 x 16 hole","item",50.00,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD201","screw, surgical, standard, 2.4mm x 14mm","item",42.00,16.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD202","screw, surgical, standard, 2.7mm x 12mm","item",47.00,4.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,20.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,5.00,4.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21125","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21127","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,8.00,2.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,20.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD191","plate, surgical, reconstruction, left, 5 x 16 hole","item",719.00,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD192","plate, surgical, reconstruction, template, 5 x 16 hole","item",50.00,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD199","screw, surgical, locking, 2.4mm x 16mm","item",74.00,16.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD202","screw, surgical, standard, 2.7mm x 12mm","item",47.00,4.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Cutters, Closures, Cautery","SF034","stapler, surgical","item",7.50,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,40.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,4.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,5.00,4.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21127","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21137","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21137","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21137","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21137","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21137","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21137","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21138","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21138","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21138","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21138","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21138","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21138","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21139","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21139","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21139","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21139","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21139","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21139","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21139","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21139","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21139","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21139","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21139","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21139","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21139","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21139","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21139","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21139","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21141","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21141","NPRM","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,12.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,24.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090","21144",,
"21141","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090","21144",,
"21142","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21142","NPRM","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,12.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,24.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090","21141",,
"21142","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090","21141",,
"21143","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","I"
"21143","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21143","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"21143","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"21143","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"21143","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"21143","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"21143","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"21143","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21143","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21145","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21145","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21145","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Apr06","J"
"21145","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06","J"
"21145","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21146","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"21146","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21146","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,7.00,"090",,,
"21146","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06",
"21146","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,,
"21147","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"21147","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21147","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,7.00,"090",,"Apr06","J"
"21147","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06","J"
"21147","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,"Apr06","J"
"21150","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21150","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21150","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21150","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21150","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21150","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21150","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21150","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21150","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21150","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21150","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21151","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21151","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21151","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21151","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21151","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21151","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21151","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21151","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21151","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21151","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21151","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21154","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21154","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21154","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21154","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21154","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21154","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21154","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21154","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21154","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21154","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21154","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21155","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21155","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21155","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21155","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21155","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21155","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21155","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21155","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21155","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21155","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21155","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21159","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21159","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21159","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21159","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21159","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21159","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21159","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21159","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21159","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21159","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21159","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21160","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21160","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21160","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21160","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21160","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21160","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21160","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21160","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21160","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21160","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21160","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21172","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21172","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21172","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"21172","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,7.00,"090",,,
"21172","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,14.00,"090",,,
"21172","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,28.00,"090",,,
"21172","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21172","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,21.00,"090",,,
"21172","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21172","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,420.00,"090",,,
"21172","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,,
"21175","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21175","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21175","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"21175","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,7.00,"090",,,
"21175","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,14.00,"090",,,
"21175","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,28.00,"090",,,
"21175","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21175","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,21.00,"090",,,
"21175","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21175","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,420.00,"090",,,
"21175","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,,
"21179","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21179","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21179","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,7.00,"090",,,
"21179","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,14.00,"090",,,
"21179","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,28.00,"090",,,
"21179","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21179","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,21.00,"090",,,
"21179","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21179","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,420.00,"090",,,
"21179","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,14.00,"090",,,
"21179","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,,
"21180","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21180","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21180","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,7.00,"090",,,
"21180","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,14.00,"090",,,
"21180","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,28.00,"090",,,
"21180","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21180","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,21.00,"090",,,
"21180","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21180","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,420.00,"090",,"Apr06","J"
"21180","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,14.00,"090",,,
"21180","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,,
"21181","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21181","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21181","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Apr06","J"
"21181","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Apr06","J"
"21181","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,"Apr06","J"
"21182","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21182","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21182","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21182","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Apr06","J"
"21182","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06","J"
"21183","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21183","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21183","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21183","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Apr06","J"
"21183","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06","J"
"21184","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21184","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21184","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21184","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Apr06","J"
"21184","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06","J"
"21188","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21188","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21188","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21188","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21188","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21188","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21188","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21188","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21188","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21188","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21188","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21193","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21193","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21193","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21193","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Apr06","J"
"21193","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"21193","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,5.00,"090",,"Apr06","J"
"21194","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21194","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21194","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21194","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Apr06","J"
"21194","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,"Apr06","J"
"21194","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21195","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.50,"090",,"Mar04","I"
"21195","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21195","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21195","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21195","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21195","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21195","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21195","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Mar04","I"
"21195","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"21195","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21195","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21195","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,1.00,"090",,"Mar04","I"
"21195","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,10.00,"090",,"Mar04","I"
"21195","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21195","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21195","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"21196","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.50,"090",,"Mar04","I"
"21196","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21196","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21196","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21196","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21196","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21196","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21196","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Mar04","I"
"21196","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"21196","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21196","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21196","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,1.00,"090",,"Mar04","I"
"21196","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,10.00,"090",,"Mar04","I"
"21196","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21196","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21196","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"21198","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.50,"090",,"Mar04","I"
"21198","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21198","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21198","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21198","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21198","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21198","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21198","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21198","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21198","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21198","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21199","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,,3.00,"090",,,
"21199","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,3.00,"090",,,
"21199","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,3.00,"090",,,
"21206","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.50,"090",,"Mar04","I"
"21206","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21206","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21206","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21206","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21206","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21206","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21206","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21206","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21206","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21206","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21208","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21208","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,2.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,10.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD189","plate, surgical, mini-compression, 4 hole","item",226.00,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD199","screw, surgical, locking, 2.4mm x 16mm","item",74.00,4.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD202","screw, surgical, standard, 2.7mm x 12mm","item",47.00,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,20.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,6.00,5.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21208","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21209","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,2.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,14.00,12.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,14.00,12.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,10.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,20.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,7.00,6.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21209","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21210","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,8.00,2.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,20.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Accessory, Procedure","SD190","plate, surgical, mini-i, 16mm","item",147.00,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Accessory, Procedure","SD196","screw, surgical, auto-drive, 2.0mm x 4mm","item",37.00,16.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Cutters, Closures, Cautery","SF034","stapler, surgical","item",7.50,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,40.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,4.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,6.00,5.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21210","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21215","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,8.00,2.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,20.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD110","reservoir, drain (Jackson-Pratt)","item",22.00,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD191","plate, surgical, reconstruction, left, 5 x 16 hole","item",719.00,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD192","plate, surgical, reconstruction, template, 5 x 16 hole","item",50.00,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD199","screw, surgical, locking, 2.4mm x 16mm","item",74.00,16.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD202","screw, surgical, standard, 2.7mm x 12mm","item",47.00,4.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Cutters, Closures, Cautery","SF034","stapler, surgical","item",7.50,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,40.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,4.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,6.00,5.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21215","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21230","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21230","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21230","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21230","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Apr06","J"
"21230","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,"Apr06","J"
"21230","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,3.00,"090",,"Apr06","J"
"21235","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21235","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21235","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"21235","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"21240","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21240","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21240","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,"Apr06","J"
"21240","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21242","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21242","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21242","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21242","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21243","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,10.00,"090",,"Apr06","J"
"21243","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21243","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21243","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,10.00,"090",,"Apr06","J"
"21244","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21244","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21244","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21244","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"21244","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21244","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21244","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21244","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21244","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21244","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21244","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21245","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21245","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,2.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,10.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,20.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,6.00,5.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21245","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21246","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"21246","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"21247","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"21247","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21247","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,"Apr06","J"
"21247","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,7.00,"090",,"Apr06","J"
"21248","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21248","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,2.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,10.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,20.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,5.00,4.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21248","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21249","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,2.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,10.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,20.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,5.00,4.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21249","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Aug03","6"
"21255","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","I"
"21255","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21255","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21255","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21255","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21255","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21255","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21255","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21255","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21255","PEAC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,,1.00,"090",,"Mar04","I"
"21255","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21255","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21255","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21256","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21256","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21256","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,"Apr06","J"
"21260","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21260","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21260","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21260","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21260","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21260","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21260","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21260","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"21260","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"21260","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"21260","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"21260","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"21260","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21260","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21260","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21260","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21260","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21260","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21260","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21261","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21261","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21261","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21261","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21261","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21261","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21261","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21261","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21261","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21261","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21261","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21261","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21261","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21261","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21261","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21261","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21261","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21261","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21261","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21263","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21263","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21263","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21263","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21263","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21263","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21263","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21263","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21263","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21263","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21263","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21263","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21263","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21263","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21263","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21263","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21263","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21263","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21263","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21267","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21267","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21267","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"21267","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21267","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21267","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21267","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21267","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21267","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21267","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21267","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21267","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21267","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21267","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21267","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21267","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21267","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21267","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21267","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21268","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21268","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21268","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21268","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21268","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21268","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21268","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21268","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"21268","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"21268","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"21268","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"21268","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"21268","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21268","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21268","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21268","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21268","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21268","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21268","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21270","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"21270","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21270","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"21270","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"21275","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21275","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21275","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,,
"21275","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,10.00,"090",,,
"21275","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"21275","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21275","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,15.00,"090",,,
"21275","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21275","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,300.00,"090",,,
"21275","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,10.00,"090",,,
"21275","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,5.00,"090",,,
"21280","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21280","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21280","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21280","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21280","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21280","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21280","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21280","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21280","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21280","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"21280","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21282","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21282","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21282","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21282","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21282","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21282","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21282","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21282","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21282","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21282","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"21282","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21295","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"21295","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21295","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21295","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21295","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21295","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21296","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21296","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21296","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21296","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21296","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21296","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21296","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21296","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21296","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Mar04","I"
"21296","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,"Mar04","I"
"21296","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21296","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21299","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"21310","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"21310","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"000",,"Feb05",
"21310","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"000",,"Feb05",
"21310","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Feb05",
"21310","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Feb05",
"21310","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"000",,"Feb05",
"21310","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Feb05",
"21315","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar04","I"
"21315","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Wound Care, Dressings","SG073","splint, adhesive nasal (Denver)","item",21.20,1.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,12.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"010",,"Mar04","I"
"21315","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.50,0.00,"010",,"Mar04","I"
"21320","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.50,0.50,"010",,"Mar04","I"
"21320","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Wound Care, Dressings","SG073","splint, adhesive nasal (Denver)","item",21.20,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,6.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"010",,"Mar04","I"
"21320","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","I"
"21325","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21325","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21325","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21325","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21325","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21325","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21325","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21325","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21325","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21325","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21325","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21325","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21325","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21325","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21325","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21325","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21325","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21330","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21330","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21330","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21330","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21330","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21330","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21330","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21330","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21330","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21330","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21330","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21330","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21330","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21330","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21330","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21330","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21330","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21335","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21335","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21335","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21335","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21335","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21335","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21335","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21335","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21335","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21335","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21335","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21335","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21335","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21335","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21335","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21335","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21335","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21336","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"21336","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21336","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"21336","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21336","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21336","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21336","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21336","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21336","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21336","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21336","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21336","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21336","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21336","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21336","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21336","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21336","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21337","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"21337","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21337","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"21337","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"21338","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"21338","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21338","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21338","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21338","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21338","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21338","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21338","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21338","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21338","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21338","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21338","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21338","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21338","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21338","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21338","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21338","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21339","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"21339","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21339","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21339","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21339","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21339","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21339","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21339","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21339","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21339","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21339","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21339","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21339","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21339","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21339","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21339","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21339","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21340","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21340","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21343","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"21343","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21343","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"21343","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21343","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21343","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21343","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21343","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21343","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21343","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21343","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21343","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21343","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"21343","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"21343","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21343","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21343","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"21344","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"21344","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21344","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21344","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21344","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21344","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,"Mar04","I"
"21344","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,4.00,"090",,"Mar04","I"
"21344","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21344","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21344","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,4.00,"090",,"Mar04","I"
"21344","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,20.00,"090",,"Mar04","I"
"21344","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21344","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21344","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"21345","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21345","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21345","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,3.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"21345","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"21346","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"21346","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"21346","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,4.00,"090",,"Aug03","6"
"21346","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Aug03","6"
"21346","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Aug03","6"
"21346","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,,4.00,"090",,"Aug03","6"
"21346","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,,1.00,"090",,"Aug03","6"
"21346","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Aug03","6"
"21346","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,4.00,"090",,"Aug03","6"
"21346","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Aug03","6"
"21346","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Aug03","6"
"21346","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Aug03","6"
"21346","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Aug03","6"
"21346","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,75.00,"090",,"Aug03","6"
"21346","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,6.00,"090",,"Aug03","6"
"21346","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,,8.00,"090",,"Aug03","6"
"21346","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,10.00,"090",,"Aug03","6"
"21346","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Aug03","6"
"21346","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,,4.00,"090",,"Aug03","6"
"21346","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Aug03","6"
"21346","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,"Aug03","6"
"21347","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"21347","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21347","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21347","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21347","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21347","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,"Mar04","I"
"21347","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,4.00,"090",,"Mar04","I"
"21347","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21347","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21347","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,4.00,"090",,"Mar04","I"
"21347","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,20.00,"090",,"Mar04","I"
"21347","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21347","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21347","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"21348","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21348","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21348","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,"Apr06","J"
"21348","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"21348","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21348","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21355","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,"Mar04","I"
"21355","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar04","I"
"21355","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,4.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,12.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","I"
"21355","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,"Mar04","I"
"21356","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar04","I"
"21356","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,1.00,"010",,"Mar04","I"
"21356","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,1.00,"010",,"Mar04","I"
"21356","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,4.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar04","I"
"21356","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar04","I"
"21356","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar04","I"
"21356","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,12.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","I"
"21356","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","I"
"21360","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Aug03","6"
"21360","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"21365","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"21365","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21365","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21365","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21366","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21366","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21366","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,"Apr06","J"
"21366","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Apr06","J"
"21366","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,300.00,"090",,"Apr06","J"
"21366","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,"Apr06","J"
"21385","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21385","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21385","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21385","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"21385","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21385","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21385","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21385","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21385","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21386","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21386","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21386","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21386","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21387","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21387","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21387","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21387","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21387","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21387","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21387","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21387","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21387","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21387","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21387","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21390","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21390","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21390","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"21390","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21390","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21390","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21390","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21390","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21390","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21390","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21390","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21395","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"21395","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21395","PERC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"21395","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21395","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21395","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21395","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21395","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21395","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21395","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21395","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21400","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"21401","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21401","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"21401","PEAC","Accessory, Procedure","SD197","screw, surgical, Carroll-Girard, 9cm x 3.75in","item",92.00,1.00,0.00,"090",,"Aug03","6"
"21406","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21406","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21406","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21406","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21406","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21406","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21406","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21406","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21406","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21406","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"21406","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21407","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21407","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21407","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21407","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21407","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21407","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21407","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21407","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21407","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21407","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"21407","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21408","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21408","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21408","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,
"21408","CPEP","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,8.00,"090",,,
"21408","CPEP","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"21408","CPEP","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,2.00,"090",,,
"21408","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"21408","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,,
"21408","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"21408","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"21408","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21421","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Mar04","J"
"21421","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Mar04","J"
"21421","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Mar04","J"
"21421","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,13.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Mar04","J"
"21421","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,14.00,12.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,6.00,5.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,7.00,6.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Mar04","J"
"21421","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Mar04","J"
"21421","PEAC","Lab","SL152","acrylic tray-base material","oz",1.77,1.00,0.00,"090",,"Mar04","J"
"21422","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"21422","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21422","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21422","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21422","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21422","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21422","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21422","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21422","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21422","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21422","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21423","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"21423","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21423","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"21423","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"21423","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"21423","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"21423","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"21423","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21423","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21423","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21423","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"21431","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"21431","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,4.00,"090",,"Aug03","6"
"21431","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Aug03","6"
"21431","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Aug03","6"
"21431","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,,4.00,"090",,"Aug03","6"
"21431","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,,1.00,"090",,"Aug03","6"
"21431","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Aug03","6"
"21431","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,4.00,"090",,"Aug03","6"
"21431","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Aug03","6"
"21431","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Aug03","6"
"21431","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Aug03","6"
"21431","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Aug03","6"
"21431","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,75.00,"090",,"Aug03","6"
"21431","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,6.00,"090",,"Aug03","6"
"21431","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,,8.00,"090",,"Aug03","6"
"21431","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,10.00,"090",,"Aug03","6"
"21431","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Aug03","6"
"21431","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,,4.00,"090",,"Aug03","6"
"21431","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Aug03","6"
"21431","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,"Aug03","6"
"21432","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"21432","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"21432","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"21432","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21432","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,1.00,"090",,"Mar04","I"
"21432","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Mar04","I"
"21432","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"21432","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"21432","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"21432","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,,1.00,"090",,"Mar04","I"
"21432","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,10.00,"090",,"Mar04","I"
"21432","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"21432","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"21432","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"21433","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21433","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21433","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"21433","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,,
"21433","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21435","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21435","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21435","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"21435","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,,
"21435","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"21436","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21436","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21436","PERC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,"Apr06","J"
"21436","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"21436","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,,
"21436","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,5.00,"090",,,
"21440","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,4.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,6.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,2.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,10.00,8.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,5.00,4.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21440","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,4.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,10.00,8.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,5.00,4.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21445","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,4.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,10.00,8.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,10.00,8.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21450","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21450","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Aug03","6"
"21450","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21450","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,10.00,8.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,5.00,4.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21450","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Aug03","6"
"21451","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,5.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21451","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21451","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Aug03","6"
"21451","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21451","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,12.00,10.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,6.00,5.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21451","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Aug03","6"
"21452","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,3.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,8.00,6.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,8.00,6.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Accessory, Procedure","SD200","screw, surgical, self-tapping, 1.5-2.0mm","item",27.00,3.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,8.00,6.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,4.00,3.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"Aug03","6"
"21452","PEAC","Lab","SL152","acrylic tray-base material","oz",1.77,5.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,6.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,14.00,12.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,14.00,12.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21453","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21453","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Aug03","6"
"21453","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,14.00,12.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,7.00,6.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21453","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Aug03","6"
"21454","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"21454","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21454","CPEP","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"21454","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"21454","CPEP","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,5.00,"090",,,
"21461","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,6.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,14.00,12.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,14.00,12.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD193","plate, surgical, rigid comminuted fracture","item",389.00,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD194","plate, surgical, rigid comminuted fracture, template","item",29.00,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD198","screw, surgical, lag, 2.4mm x 26mm","item",66.00,4.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD202","screw, surgical, standard, 2.7mm x 12mm","item",47.00,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,14.00,12.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,7.00,6.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"21461","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,6.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,14.00,12.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,14.00,12.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21462","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21462","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD193","plate, surgical, rigid comminuted fracture","item",389.00,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD194","plate, surgical, rigid comminuted fracture, template","item",29.00,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD198","screw, surgical, lag, 2.4mm x 26mm","item",66.00,4.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD202","screw, surgical, standard, 2.7mm x 12mm","item",47.00,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,90.00,90.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,14.00,12.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,7.00,6.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"21462","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Aug03","6"
"21465","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21465","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21465","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Apr06","J"
"21465","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,"Apr06","J"
"21465","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21470","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21470","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21470","PERC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Apr06","J"
"21470","PERC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,"Apr06","J"
"21470","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21480","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Sep04",
"21480","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Sep04",
"21480","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"000",,"Sep04",
"21480","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,2.00,0.00,"000",,"Sep04",
"21480","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"000",,"Sep04",
"21480","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Sep04",
"21480","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"000",,"Sep04",
"21485","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,5.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21485","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21485","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Aug03","6"
"21485","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21485","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,12.00,10.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,6.00,5.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"21485","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Aug03","6"
"21490","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"21490","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21490","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,6.00,"090",,"Apr06","J"
"21495","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"21495","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"21495","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"21495","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"21495","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"21495","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"21495","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"21495","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"21495","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"21495","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,6.00,"090",,"Mar04","I"
"21495","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"21495","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"21495","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"21495","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"21497","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,12.00,10.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,12.00,10.00,"090",,"Aug03","6"
"21497","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,1.00,"090",,"Aug03","6"
"21497","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,1.00,"090",,"Aug03","6"
"21497","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Cutters, Closures, Cautery","SF001","arch bar","inch",0.66,12.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Cutters, Closures, Cautery","SF025","dental elastics","item",8.0e-03,120.00,90.00,"090",,"Aug03","6"
"21497","PEAC","Cutters, Closures, Cautery","SF043","wire, surgical steel","foot",0.12,12.00,0.00,"090",,"Aug03","6"
"21497","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,12.00,6.00,"090",,"Aug03","6"
"21497","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,10.00,"090",,"Aug03","6"
"21497","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,2.00,"090",,"Aug03","6"
"21497","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,6.00,5.00,"090",,"Aug03","6"
"21497","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,1.00,"090",,"Aug03","6"
"21499","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"21501","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Jan04","19"
"21501","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,5.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,3.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,40.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Jan04","19"
"21501","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"Jan04","19"
"21502","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"21502","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21510","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"21510","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21550","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"21550","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"21550","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"21550","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"21550","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"21550","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"21550","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"21550","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"21550","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"010",,,
"21550","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"21550","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"21550","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"21550","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"21550","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"21550","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"21550","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"21550","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"21550","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"21550","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"21550","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"21550","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,3.00,,"010",,,
"21550","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"21550","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"010",,,
"21550","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"21550","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"21550","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"21550","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"21550","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"21552","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"21552","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21554","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"21554","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21555","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"21555","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"21555","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"21555","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"21556","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"21556","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"21557","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"21557","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"21558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"21558","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"21600","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21610","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21610","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"21615","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"21615","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21616","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"21616","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21620","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"21620","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21627","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"21627","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"21630","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21632","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"21632","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21685","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"21685","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,,
"21685","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,
"21685","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,,
"21685","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"21685","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,,
"21685","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,1.00,"090",,,
"21685","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"21685","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"21685","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,,
"21685","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,6.00,"090",,,
"21685","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,,
"21685","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,,
"21685","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,4.00,"090",,,
"21685","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,,
"21700","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","U"
"21700","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","U"
"21705","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"21705","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21720","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","U"
"21720","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","U"
"21725","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21725","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21740","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"21740","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21742","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"21743","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"21750","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"21750","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21800","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Aug03","5"
"21805","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"21805","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"21810","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21810","CPEP","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21820","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","5"
"21825","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"21825","CPEP","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"21899","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"21920","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"21920","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"21920","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"21920","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"21920","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"21920","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"21920","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"21920","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"21920","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"010",,,
"21920","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"21920","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"21920","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"21920","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"21920","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"21920","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"21920","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"21920","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"21920","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"21920","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"21920","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"21920","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,3.00,,"010",,,
"21920","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"21920","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,,"010",,,
"21920","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"21920","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"21920","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"21920","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"21920","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"21925","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"21925","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"21925","PEAC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"21925","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","5"
"21930","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"21930","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"21930","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"21930","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"21931","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"21931","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21932","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"21932","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21933","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"21933","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"21935","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"21935","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"21936","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"21936","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"22010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"RUC05",
"22010","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"22015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"RUC05",
"22015","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"22100","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22100","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22101","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22101","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22102","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22102","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22103","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22585",,
"22110","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22110","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22112","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22112","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22114","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22114","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22116","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22585",,
"22206","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","8"
"22206","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT08","8"
"22207","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","8"
"22207","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT08","8"
"22208","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT08","8"
"22210","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22210","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22212","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22212","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22214","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22214","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22216","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22230",,
"22220","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22220","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22222","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22222","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22224","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22224","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22226","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22585",,
"22305","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Jan04","5"
"22310","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Jan04","5"
"22315","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Jan04","5"
"22315","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"090",,"Jan04","5"
"22315","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,0.00,"090",,"Jan04","5"
"22315","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,0.00,"090",,"Jan04","5"
"22315","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,5.00,0.00,"090",,"Jan04","5"
"22318","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","63075",,
"22318","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","63075",,
"22319","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","22548",,
"22319","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","22548",,
"22325","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22325","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22325","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22326","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"22326","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22326","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22327","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"22327","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22327","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22328","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22585",,
"22505","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,,
"22520","PEAC","Kit, Pack, Tray","SA039","kit, vertebroplasty (LP2, CDO)","kit",696.00,1.50,,"010",,,
"22520","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"CPT10","cs"
"22520","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,,
"22520","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,"cs"
"22520","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"010",,,
"22520","PEAC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,,
"22520","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"22520","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"22520","PEAC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,,
"22520","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"010",,,
"22520","PEAC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"22520","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"22520","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"22520","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"22520","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,,
"22520","PEAC","Pharmacy, Rx","SH015","barium sulfate, sterile (Biotrace) (6gm uou)","item",72.50,1.00,,"010",,,
"22520","PEAC","Pharmacy, Rx","SH020","bone cement (full dose pack uou) (Osteobond, Simplex)","item",75.64,1.00,,"010",,,
"22520","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"22520","PEAC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,,
"22520","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"22521","PEAC","Kit, Pack, Tray","SA039","kit, vertebroplasty (LP2, CDO)","kit",696.00,1.50,,"010",,,
"22521","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"CPT10","cs"
"22521","PEAC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,,
"22521","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,"cs"
"22521","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"010",,,
"22521","PEAC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,,
"22521","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"22521","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"22521","PEAC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,,
"22521","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"010",,,
"22521","PEAC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"22521","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"22521","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"22521","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"22521","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,,
"22521","PEAC","Pharmacy, Rx","SH015","barium sulfate, sterile (Biotrace) (6gm uou)","item",72.50,1.00,,"010",,,
"22521","PEAC","Pharmacy, Rx","SH020","bone cement (full dose pack uou) (Osteobond, Simplex)","item",75.64,1.00,,"010",,,
"22521","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"22521","PEAC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,,
"22521","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"22522","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"22523","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT12","Sept 47"
"22523","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"010",,"CPT12","Sept 47"
"22523","RUC","Kit, Pack, Tray","SA111","Kyphoplasty kit, first fracture","kit",3925.00,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Cutters, Closures, Cautery","SF055","Bone biopsy device","item",140.00,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Pharmacy, Rx","SH100","Bone cement with mixer","item",210.00,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,"CPT12","Sept 47"
"22523","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT12","Sept 47"
"22524","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"010",,"CPT12","Sept 47"
"22524","RUC","Kit, Pack, Tray","SA111","Kyphoplasty kit, first fracture","kit",3925.00,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Cutters, Closures, Cautery","SF055","Bone biopsy device","item",140.00,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Pharmacy, Rx","SH100","Bone cement with mixer","item",210.00,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,"CPT12","Sept 47"
"22524","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,"CPT12","Sept 47"
"22525","RUC","Kit, Pack, Tray","SA112","Kyphoplasty kit, additional fracture","kit",2595.00,1.00,,"ZZZ",,"CPT12","Sept 47"
"22526","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"22526","RUC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"010",,,
"22526","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT07",
"22526","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"010",,"Jan04","5"
"22526","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"010",,,
"22526","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Jan04","5"
"22526","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Jan04","5"
"22526","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,,
"22526","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"010",,"Jan04","5"
"22526","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"010",,"Jan04","5"
"22526","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"CPT07",
"22526","RUC","Accessory, Procedure","SD222","catheter, intradiscal (spineCATH)","item",1380.00,1.00,0.00,"010",,,
"22526","RUC","Accessory, Procedure","SD231","needle, introducer (spineCATH)","item",69.00,1.00,0.00,"010",,,
"22526","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"CPT07",
"22526","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"CPT07",
"22526","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"CPT07",
"22526","RUC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,0.00,"010",,"Jan04","5"
"22526","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,0.00,"010",,,
"22526","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Jan04","5"
"22527","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"Jan04","5"
"22527","RUC","Accessory, Procedure","SD222","catheter, intradiscal (spineCATH)","item",1380.00,1.00,0.00,"ZZZ",,,
"22527","RUC","Accessory, Procedure","SD231","needle, introducer (spineCATH)","item",69.00,1.00,0.00,"ZZZ",,,
"22527","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,0.00,"ZZZ",,,
"22532","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22532","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"22533","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22533","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"22534","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"22548","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22548","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22551","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,3.00,"090","22554","CPT11","26"
"22551","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090","22554","CPT11","26"
"22552","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT11","26"
"22554","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"22554","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22556","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22556","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22558","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22558","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22585","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"22590","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22590","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22595","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22595","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22600","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22610","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22610","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22612","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"22612","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22614","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22650",,
"22630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22630","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22632","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22614",,
"22633","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","May 3"
"22633","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 3"
"22634","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 3"
"22800","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22800","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22802","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22802","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22804","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22804","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22808","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22808","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22810","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22810","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22812","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"22812","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22818","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"22818","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22819","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"22819","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22830","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"22830","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"22840","CPEP","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"22841","CMS","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"22842","CPEP","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"22843","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22845",,
"22844","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22845",,
"22845","CPEP","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"22846","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22845",,
"22847","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22845",,
"22848","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22845",,
"22849","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"22849","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22849","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22850","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"22850","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22850","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22851","CMS","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","22845",,
"22852","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"22852","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22852","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22855","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"22855","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"22855","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"22856","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","4"
"22856","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","4"
"22857","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"22857","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"22861","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","4"
"22861","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","4"
"22862","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"22862","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"22864","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","4"
"22864","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","4"
"22865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"22865","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"22899","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"22900","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"22900","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"22901","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"22901","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"22902","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","27"
"22902","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","27"
"22902","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","27"
"22902","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"CPT10","27"
"22902","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","27"
"22902","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","27"
"22903","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"22903","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"22904","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"22904","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"22905","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"22905","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"22999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"23000","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"23000","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"23000","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"23000","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"23020","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23020","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23030","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"23030","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"23030","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"23030","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"23031","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"23031","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"23031","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"23035","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23035","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23040","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23040","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23044","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23044","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23065","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,"Mar03","6"
"23065","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"23065","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"23065","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"23066","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"23066","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"23066","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"23066","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"23071","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"23071","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"23073","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"23073","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"23075","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","27"
"23075","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","27"
"23075","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","27"
"23076","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"23076","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"23077","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"23077","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"23078","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"23078","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"23100","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23100","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23101","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"23101","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23105","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23105","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23106","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23106","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23107","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23107","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23120","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr08","ss"
"23120","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,"ss"
"23125","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23125","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23130","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23130","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23140","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23140","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23145","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23145","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23146","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23146","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23150","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23150","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23155","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23155","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23156","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23156","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23170","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23170","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23172","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23172","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23174","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23174","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23180","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23180","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23182","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23182","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23184","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23184","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23190","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23190","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23195","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23195","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"23200","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"23210","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"23210","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"23220","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"23220","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"23330","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"23330","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"23330","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar03","6"
"23330","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"23331","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23331","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23332","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23350","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Mar04","R"
"23350","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","R"
"23350","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","R"
"23350","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Mar04","R"
"23350","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Mar04","R"
"23395","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23395","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23397","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23397","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23400","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23400","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23405","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23405","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23406","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23406","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23410","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23410","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23412","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23412","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23415","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23415","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23420","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23420","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23430","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23430","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23440","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23440","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23450","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23450","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23455","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23455","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23460","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23460","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23462","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23462","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23465","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23465","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23466","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23466","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23470","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"23470","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"23472","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 2"
"23472","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT13","May 2"
"23473","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 2"
"23473","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT13","May 2"
"23474","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 2"
"23474","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT13","May 2"
"23480","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23480","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23485","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23485","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23490","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23490","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23491","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23491","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23500","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"23505","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"23505","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23505","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23505","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23515","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23515","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"23520","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"23525","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"23525","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23525","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23525","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23530","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23530","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23532","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23532","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23540","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"23545","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"23545","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23545","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23545","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23550","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23550","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23552","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23552","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23570","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"23570","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"23575","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"23575","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"23575","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23575","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23575","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,4.00,"090",,"CPT13","MD Time"
"23600","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"CPT13","MD Time"
"23600","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"CPT13","MD Time"
"23600","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT13","MD Time"
"23605","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"23605","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"23605","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"23605","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"23605","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23605","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23605","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23615","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"23616","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23616","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"23620","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"23625","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"23625","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23625","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23625","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23630","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"23650","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"23650","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23650","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23650","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23655","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23660","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23660","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23665","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"23665","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23665","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23665","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23670","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23670","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"23675","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"23675","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"23675","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"23675","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"23675","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"23675","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"23680","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"23680","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"23700","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"23800","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23800","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23802","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23802","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23900","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"23900","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23920","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23920","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"23921","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","5"
"23921","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"23929","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"23930","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"23930","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"23930","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,3.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"23930","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"23931","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"23931","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"23931","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"010",,"Mar03","6"
"23935","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"23935","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24000","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"24000","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24006","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24006","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24065","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"24065","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"24065","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"24065","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"24066","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"24066","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"24066","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"24066","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"24071","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"24071","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"24073","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"24073","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"24075","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"24075","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Hypodermic, IV","SC003","arm board","item",0.59,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"24075","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"24076","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"24076","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"24077","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"24077","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"24079","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"24079","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"24100","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"24100","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24101","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24101","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24102","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24102","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24105","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24105","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24110","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24110","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24115","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24115","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24116","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24116","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24120","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24120","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24125","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24125","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24126","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24126","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24130","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24130","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24134","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24134","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24136","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24136","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24138","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"24138","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24140","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24140","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24145","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24145","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24147","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24147","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24149","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"24149","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24150","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"24150","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"24152","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"24152","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"24155","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24155","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 3"
"24160","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT13","May 3"
"24164","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"24164","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24200","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"24200","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"24200","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"24200","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"24201","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"24201","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"24201","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"24201","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"24220","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Jan04","7"
"24220","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Jan04","7"
"24220","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","7"
"24220","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Jan04","7"
"24220","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Jan04","7"
"24300","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"24300","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24301","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24301","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24305","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24305","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24310","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"24310","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24320","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24320","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24330","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24330","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24331","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24331","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24332","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24332","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24340","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24340","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24341","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24341","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24342","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24342","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24343","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24343","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24344","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"24344","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24345","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24345","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24346","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"24346","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24357","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","10"
"24357","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","10"
"24358","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","10"
"24358","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","10"
"24359","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","10"
"24359","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","10"
"24360","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24360","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24361","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24361","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24362","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24362","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24363","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 3"
"24363","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT13","May 3"
"24365","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24365","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24366","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24366","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24370","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 3"
"24370","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT13","May 3"
"24371","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","May 3"
"24371","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT13","May 3"
"24400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24400","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24410","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24410","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24420","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24420","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24420","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,36.00,"090",,,
"24420","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,720.00,"090",,,
"24420","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,60.00,"090",,,
"24420","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,,
"24430","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24430","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24435","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24435","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24470","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24470","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24495","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"24495","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24495","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,5.00,"090",,,
"24495","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,5.00,"090",,,
"24495","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"24495","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,5.00,"090",,,
"24495","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"24495","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,10.00,"090",,,
"24495","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,900.00,"090",,,
"24495","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,380.00,"090",,,
"24495","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,10.00,"090",,,
"24498","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24498","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24500","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"24500","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24500","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24500","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24505","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"24505","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24505","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24505","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24505","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24505","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24505","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24515","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24515","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24516","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24516","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24530","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"24530","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24530","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24530","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24535","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"24535","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24535","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24535","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24535","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24535","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24535","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24538","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"24538","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24538","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"24538","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"24538","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"24538","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"24538","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,2.00,"090",,,
"24538","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"24538","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,76.00,"090",,,
"24538","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"24545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"24545","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"24546","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"24546","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"24560","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"24560","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24560","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24560","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24565","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"24565","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24565","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24565","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24565","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24565","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24565","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24566","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24566","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"24566","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"24566","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"24566","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"24566","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"24566","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"24566","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"24566","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"24566","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"24566","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"24566","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"24566","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"24566","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"24575","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"24575","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"24576","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"24576","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24576","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24576","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24577","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"24577","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24577","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24577","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24577","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24577","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24577","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24579","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","9*"
"24579","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","9*"
"24582","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24582","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"24582","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"24582","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"24582","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"24582","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"24582","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"24582","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"24582","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"24582","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"24582","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"24582","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"24582","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"24582","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"24586","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24586","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"24587","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24587","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"24600","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24600","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24600","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24605","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24615","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24615","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24620","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24635","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"24635","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"24640","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"24640","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,1.00,0.00,"010",,"Mar03","6"
"24640","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,0.00,"010",,"Mar03","6"
"24640","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,1.00,0.00,"010",,"Mar03","6"
"24640","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,60.00,0.00,"010",,"Mar03","6"
"24650","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"24650","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24650","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24650","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24655","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"24655","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24655","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24655","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24655","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24655","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24655","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24665","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24665","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24665","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"24665","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"24666","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"24666","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24666","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"24666","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"24670","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"24670","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24670","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24670","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24675","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"24675","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"24675","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"24675","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"24675","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"24675","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"24675","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"24685","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"24685","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"24685","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"24685","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"24800","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24800","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24802","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24802","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24900","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"24900","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24920","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24920","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24925","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24925","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24930","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24930","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24931","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"24931","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24935","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"24935","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"24935","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,36.00,"090",,,
"24935","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,720.00,"090",,,
"24935","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,60.00,"090",,,
"24935","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,,
"24940","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"24940","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"24999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"25000","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25000","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25001","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"25001","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25020","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"25020","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25020","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,5.00,"090",,,
"25020","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,5.00,"090",,,
"25020","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"25020","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,5.00,"090",,,
"25020","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"25020","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,10.00,"090",,,
"25020","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,900.00,"090",,,
"25020","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,380.00,"090",,,
"25020","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,10.00,"090",,,
"25023","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,7.00,"090",,,
"25023","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25023","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,7.00,"090",,,
"25023","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,7.00,"090",,,
"25023","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,7.00,"090",,,
"25023","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,7.00,"090",,,
"25023","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,,
"25023","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,14.00,"090",,,
"25023","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,1260.00,"090",,,
"25023","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,530.00,"090",,,
"25023","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,14.00,"090",,,
"25024","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25024","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25025","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25025","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25028","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"25028","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25028","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,5.00,"090",,,
"25028","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,5.00,"090",,,
"25028","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"25028","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,5.00,"090",,,
"25028","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"25028","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,10.00,"090",,,
"25028","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,900.00,"090",,,
"25028","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,380.00,"090",,,
"25028","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,10.00,"090",,,
"25031","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25031","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25035","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25035","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25040","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25040","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25065","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"25065","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"25065","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"25065","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"25066","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25066","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25071","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"25071","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"25073","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"25073","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"25075","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"25075","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Hypodermic, IV","SC003","arm board","item",0.59,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"25075","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"25076","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"25076","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"25077","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"25077","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"25078","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"25078","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"25085","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25085","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25100","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25100","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25101","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25101","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25105","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25105","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25107","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25107","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25109","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"25109","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT07",
"25110","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25110","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25111","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25111","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25112","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25112","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25115","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25115","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25116","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr08","ss"
"25116","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,"ss"
"25118","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25118","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25119","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25119","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25120","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25120","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25125","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25125","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25126","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25126","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25130","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25130","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25135","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25135","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25136","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25136","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25145","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25145","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25150","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25150","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25151","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25151","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25170","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"25170","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"25210","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25210","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25215","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25215","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25230","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25230","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25240","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25240","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25246","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Jan04","7"
"25246","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Jan04","7"
"25246","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","7"
"25246","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Jan04","7"
"25246","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Jan04","7"
"25248","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25248","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25250","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25250","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25251","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25251","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25259","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"25259","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25260","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25260","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25263","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25263","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25265","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25265","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25270","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25270","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25272","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25272","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25274","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25274","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25275","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25280","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25280","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25290","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"25290","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25295","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25295","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25300","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25300","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25301","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25301","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25310","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25310","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25312","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25312","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25315","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25315","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25316","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25316","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25320","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25320","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25332","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25332","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25335","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25335","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25337","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25337","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25350","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25350","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25355","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25355","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25360","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25360","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25365","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25365","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25370","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"25370","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25375","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25375","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25390","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25390","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25391","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25391","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25392","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25392","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25393","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25393","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25394","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25394","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25400","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25400","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25405","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25405","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25415","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25415","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25420","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25420","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25425","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25425","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25426","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25426","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25430","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25430","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25431","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25431","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25440","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25440","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25441","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25441","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25442","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25442","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25443","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25443","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25444","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25444","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25445","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25445","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25446","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25446","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25447","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25447","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25449","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"25449","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25450","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25450","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25455","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25455","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25490","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25490","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25491","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25491","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25492","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25492","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25500","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"25500","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25500","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25500","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25505","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"25505","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25505","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25505","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25505","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25505","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25505","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25515","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"25515","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"25520","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"25520","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25520","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25520","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","11"
"25525","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"25526","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","11"
"25526","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"25530","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"25530","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25530","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25530","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25535","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"25535","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25535","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25535","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25535","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25535","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25535","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"25545","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"25560","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"25560","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25560","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25560","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25565","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"25565","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25565","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25565","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25565","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25565","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25565","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25574","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"25574","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"25575","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","11"
"25575","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","11"
"25600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"CPT12","5 Year"
"25600","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25600","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25600","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"CPT12","5 Year"
"25605","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25605","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25605","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25605","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25605","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25605","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT07",
"25607","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT07",
"25608","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT07",
"25609","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"CPT07",
"25622","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"25622","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25622","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25622","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25624","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"25624","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25624","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25624","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25624","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25624","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25624","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25628","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"25628","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"25630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"25630","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25630","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25630","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25635","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"25635","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25635","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25635","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25635","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25635","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25635","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25645","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25645","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25650","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"25650","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25650","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25650","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25651","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25651","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25652","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25652","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25660","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25670","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25670","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25671","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"25671","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"25675","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"25675","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"25675","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"25675","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"25675","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"25675","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"25675","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"25676","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25676","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25680","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25685","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25685","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25690","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25695","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25695","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25800","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25800","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25805","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25805","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25810","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25810","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25820","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25820","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25820","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"25820","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"25820","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"25820","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"25820","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"25820","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"25820","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"25820","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"25820","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"25825","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25825","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25825","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"25825","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"25825","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"25825","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"25825","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"25825","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"25825","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"25825","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"25825","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"25830","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25830","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25830","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"25830","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"25830","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"25830","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,0.08,"090",,,
"25830","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,62.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,2.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,
"25830","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"25830","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,172.00,"090",,,
"25830","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"25900","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"25900","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25905","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25905","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25907","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25907","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25909","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25909","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"25915","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25920","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25920","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25920","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"25920","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"25920","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"25920","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"25920","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"25920","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"25920","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"25920","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"25920","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"25922","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25922","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25922","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"25922","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"25922","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"25922","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"25922","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"25922","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"25922","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"25922","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"25922","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"25924","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25924","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25924","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"25924","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"25924","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"25924","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"25924","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"25924","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"25924","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"25924","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"25924","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"25927","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25927","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25927","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"25927","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"25927","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"25927","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"25927","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"25927","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"25927","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"25929","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25929","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25931","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"25931","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"25931","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"25931","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"25931","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"25931","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"25931","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"25931","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"25931","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"25999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"26010","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"26010","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"26010","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"010",,,
"26010","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"26010","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"26010","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"26010","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,6.00,,"010",,,
"26010","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"26010","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"26010","PEAC","Gown, Drape","SB031","lap sponge, sterile, 18inx18in (5 pack uou)","item",2.90,5.00,,"010",,,
"26010","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"26010","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,2.00,,"010",,,
"26010","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"26010","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"010",,,
"26010","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"26010","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"26010","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,,
"26010","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"26010","PEAC","Wound Care, Dressings","SG010","bandage, elastic wrap 2in (Ace)","item",0.64,2.00,1.00,"010",,,
"26010","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"010",,,
"26010","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,1.00,"010",,,
"26010","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,1.00,,"010",,,
"26010","PEAC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"010",,,
"26010","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,12.00,6.00,"010",,,
"26010","PEAC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,1.00,,"010",,,
"26010","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"26010","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"010",,,
"26010","PEAC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,5.00,,"010",,,
"26010","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"010",,,
"26010","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,130.00,10.00,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,120.00,,"010",,,
"26010","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,,
"26010","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"26010","PEAC","Lab","SL146","tubed culture media","item",0.84,4.00,,"010",,,
"26010","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"26011","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"26011","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"26011","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,1.00,"010",,,
"26011","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,,
"26011","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"26011","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"26011","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,6.00,,"010",,,
"26011","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"26011","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"26011","PEAC","Gown, Drape","SB031","lap sponge, sterile, 18inx18in (5 pack uou)","item",2.90,5.00,,"010",,,
"26011","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"010",,,
"26011","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,2.00,,"010",,,
"26011","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"26011","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"010",,,
"26011","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"26011","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"26011","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,,
"26011","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"26011","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,,"010",,,
"26011","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"010",,,
"26011","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"010",,,
"26011","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"26011","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"26011","PEAC","Wound Care, Dressings","SG010","bandage, elastic wrap 2in (Ace)","item",0.64,2.00,1.00,"010",,,
"26011","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"010",,,
"26011","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,1.00,"010",,,
"26011","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,1.00,,"010",,,
"26011","PEAC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"010",,,
"26011","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,12.00,6.00,"010",,,
"26011","PEAC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,1.00,,"010",,,
"26011","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"26011","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"010",,,
"26011","PEAC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,5.00,,"010",,,
"26011","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"010",,,
"26011","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,130.00,10.00,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,120.00,,"010",,,
"26011","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,,
"26011","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"26011","PEAC","Lab","SL146","tubed culture media","item",0.84,4.00,,"010",,,
"26011","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"26020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26020","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26020","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26020","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26020","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26020","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26020","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26020","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26025","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26025","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26025","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26025","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26025","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26025","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26025","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26025","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26030","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26030","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26030","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26030","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26030","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26030","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26030","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26030","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26034","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"26034","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26034","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26034","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26034","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26034","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26034","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26034","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26035","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"26035","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26035","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26035","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26035","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26035","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26035","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26035","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26037","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26037","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26037","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26037","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26037","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26037","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26037","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26040","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26040","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26040","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26040","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26040","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26040","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26040","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26045","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26045","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26045","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26045","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26045","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26045","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26045","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26055","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,,
"26055","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,,
"26055","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"090",,,
"26055","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"090",,,
"26055","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"090",,,
"26055","PEAC","Gown, Drape","SB013","drape, sterile, hand-upper extremity","item",18.07,1.00,,"090",,,
"26055","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"090",,,
"26055","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"090",,,
"26055","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"090",,,
"26055","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"26055","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,1.00,"090",,,
"26055","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"26055","PEAC","Gown, Drape","SB031","lap sponge, sterile, 18inx18in (5 pack uou)","item",2.90,1.00,,"090",,,
"26055","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"090",,,
"26055","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,3.00,,"090",,,
"26055","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"090",,,
"26055","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"090",,,
"26055","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"090",,,
"26055","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,,
"26055","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"090",,,
"26055","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"090",,,
"26055","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"26055","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"26055","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,3.00,,"090",,,
"26055","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"26055","PEAC","Wound Care, Dressings","SG010","bandage, elastic wrap 2in (Ace)","item",0.64,2.00,1.00,"090",,,
"26055","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"090",,,
"26055","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,1.00,"090",,,
"26055","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"090",,,
"26055","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,1.00,,"090",,,
"26055","PEAC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"090",,,
"26055","PEAC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,3.00,,"090",,,
"26055","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,23.00,3.00,"090",,,
"26055","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,,
"26055","PEAC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,1.00,,"090",,,
"26055","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"090",,,
"26055","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"26055","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"090",,,
"26055","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,,
"26055","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,,
"26055","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,,"090",,,
"26055","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,120.00,,"090",,,
"26055","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"090",,,
"26055","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"090",,,
"26060","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"26060","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26060","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26060","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26060","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26060","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26060","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26070","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26070","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26070","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26070","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26070","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26070","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26070","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26075","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26075","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26075","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26075","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26075","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26075","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26075","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26080","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26080","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26080","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26080","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26080","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26080","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26080","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26100","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26100","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26100","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26100","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26100","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26100","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26105","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26105","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26105","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26105","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26105","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26105","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26105","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26110","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26110","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26110","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26110","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,,"090",,,
"26110","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26110","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26110","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"26111","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"26113","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"26113","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"26115","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"26115","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Hypodermic, IV","SC003","arm board","item",0.59,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"26115","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"26116","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"26116","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"26117","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"26117","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"26118","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT10","27"
"26118","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"26121","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26121","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26121","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26121","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26121","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26121","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26121","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26121","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26123","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"26123","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26123","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26123","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26123","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26123","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26123","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26123","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26125","CPEP","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"26130","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26130","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26130","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26130","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26130","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26130","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26130","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26135","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26135","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26135","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26135","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26135","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26135","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26135","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26140","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26140","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26140","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26140","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26140","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26140","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26140","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26145","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26145","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26145","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26145","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26145","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26145","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,2.00,"090",,,
"26145","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26160","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,,
"26160","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,,
"26160","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"090",,,
"26160","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"090",,,
"26160","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"090",,,
"26160","PEAC","Gown, Drape","SB013","drape, sterile, hand-upper extremity","item",18.07,1.00,,"090",,,
"26160","PEAC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"090",,,
"26160","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"090",,,
"26160","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"090",,,
"26160","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,,
"26160","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"090",,,
"26160","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,,
"26160","PEAC","Gown, Drape","SB031","lap sponge, sterile, 18inx18in (5 pack uou)","item",2.90,1.00,,"090",,,
"26160","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"090",,,
"26160","PEAC","Gown, Drape","SB038","safety glasses","item",2.90,3.00,,"090",,,
"26160","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"090",,,
"26160","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"090",,,
"26160","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"090",,,
"26160","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,,
"26160","PEAC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"090",,,
"26160","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"090",,,
"26160","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,,"090",,,
"26160","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"090",,,
"26160","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,3.00,,"090",,,
"26160","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG010","bandage, elastic wrap 2in (Ace)","item",0.64,2.00,1.00,"090",,,
"26160","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,1.00,"090",,,
"26160","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,1.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,3.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,23.00,3.00,"090",,,
"26160","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"090",,,
"26160","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,12.00,"090",,,
"26160","PEAC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,1.00,,"090",,,
"26160","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"090",,,
"26160","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"26160","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"090",,,
"26160","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,,
"26160","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,,
"26160","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,120.00,,"090",,,
"26160","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,120.00,,"090",,,
"26160","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"090",,,
"26160","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"090",,,
"26160","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"090",,,
"26170","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26170","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26170","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26170","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26170","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26170","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26170","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26180","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26180","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26180","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26180","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26180","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26180","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26180","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26185","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26185","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26185","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26185","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26185","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26185","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26185","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26200","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26200","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26200","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26200","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26200","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26200","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26205","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26205","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26205","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26205","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26205","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26205","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,9.00,"090",,,
"26205","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"26210","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26210","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26210","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26210","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26210","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26210","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,3.00,"090",,,
"26210","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26215","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26215","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26215","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26215","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26215","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26215","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,9.00,"090",,,
"26215","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"26230","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26230","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26230","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26230","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26230","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26230","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26230","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26230","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26235","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26235","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26235","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26235","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26235","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26235","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26235","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26235","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26236","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26236","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"26236","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,1.00,"090",,,
"26236","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26236","PEAC","Wound Care, Dressings","SG011","bandage, elastic wrap 3in (Ace)","item",0.85,,1.00,"090",,,
"26236","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,,1.00,"090",,,
"26236","PEAC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,,6.00,"090",,,
"26236","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"26250","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"26250","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"26260","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"26260","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"26262","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"26262","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"26320","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"26320","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"26340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"26340","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"26341","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT12","May 2"
"26341","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,"CPT12","May 2"
"26341","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,"CPT12","May 2"
"26341","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,"CPT12","May 2"
"26341","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT12","May 2"
"26341","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"010",,"CPT12","May 2"
"26341","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT12","May 2"
"26341","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,"CPT12","May 2"
"26341","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,"CPT12","May 2"
"26341","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"010",,"CPT12","May 2"
"26350","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26350","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26350","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26350","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26350","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26350","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26350","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26350","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26350","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26352","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26352","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26352","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26352","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26352","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26352","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26352","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26352","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26352","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26356","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,8.00,"090",,"Apr06","J"
"26356","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26356","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26356","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26356","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26356","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26356","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26356","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26356","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26357","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26357","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26357","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26357","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26357","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26357","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26357","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26357","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26357","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26358","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26358","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26358","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26358","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26358","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26358","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26358","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26358","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26358","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26370","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26370","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26370","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26370","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26370","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26370","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26370","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26370","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26370","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26372","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26372","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26372","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26372","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26372","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26372","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26372","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26372","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26372","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26373","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26373","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26373","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26373","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26373","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26373","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26373","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26373","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26373","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26390","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26390","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26390","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26390","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26390","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26390","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26390","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26390","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26390","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26392","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26392","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26392","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26392","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26392","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26392","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26392","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26392","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26392","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26410","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26410","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26410","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26410","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26410","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26410","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26410","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26410","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26410","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26412","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26412","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26412","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26412","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26412","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26412","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26412","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26412","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26412","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26415","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26415","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26415","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26415","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26415","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26415","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26415","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26415","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26415","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26416","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26416","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26416","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26416","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26416","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26416","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26416","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26416","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26416","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26418","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26418","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26418","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26418","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26418","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26418","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26418","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26418","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26418","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26420","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26420","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26420","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26420","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26420","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26420","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26420","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26420","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26420","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26426","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26426","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26428","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26428","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26428","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,8.00,"090",,,
"26428","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"26428","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,12.00,"090",,,
"26428","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,4.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,4.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26428","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26428","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26428","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26432","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26432","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26432","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26432","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26432","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26432","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26432","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26432","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26432","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26433","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26433","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26433","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26433","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26433","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26433","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26433","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26433","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26433","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26434","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26434","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26434","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26434","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26434","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26434","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26434","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26434","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26434","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26437","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26437","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26437","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26437","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26437","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26437","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26437","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26437","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26437","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26440","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26440","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26440","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26440","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26440","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26440","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26440","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26440","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26440","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26442","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26442","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26442","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26442","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26442","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26442","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26442","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26442","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26442","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26445","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26445","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26445","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26445","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26445","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26445","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26445","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26445","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26445","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26449","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26449","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"26450","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26450","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26450","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"26450","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"26450","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"26450","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,1.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,1.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26450","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26450","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26450","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26455","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26455","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26455","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"26455","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"26455","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"26455","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,1.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,1.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26455","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26455","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26455","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26460","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26460","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26460","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"26460","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"26460","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"26460","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,1.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,1.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26460","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26460","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26460","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26471","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26471","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26471","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26471","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26471","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26471","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26471","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26471","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26471","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26474","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26474","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26474","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26474","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26474","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26474","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26474","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26474","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26474","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26476","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26476","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26476","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26476","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26476","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26476","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26476","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26476","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26476","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26477","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26477","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26477","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26477","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26477","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26477","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26477","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26477","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26477","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26478","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26478","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26478","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26478","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26478","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26478","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26478","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26478","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26478","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26479","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26479","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26479","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26479","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26479","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26479","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26479","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26479","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26479","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26480","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26480","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26480","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26480","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26480","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26480","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26480","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26480","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26480","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26483","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26483","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26483","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26483","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26483","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26483","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26483","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26483","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26483","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26485","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26485","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26485","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26485","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26485","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26485","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26485","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26485","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26485","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26489","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26489","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26489","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26489","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26489","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26489","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26489","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26489","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26489","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26490","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26490","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26490","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26490","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26490","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26490","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26490","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26490","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26490","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26492","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26492","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26492","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26492","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26492","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26492","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26492","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26492","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26492","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26494","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26494","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26494","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26494","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26494","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26494","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26494","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26494","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26494","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26496","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26496","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26496","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26496","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26496","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26496","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26496","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26496","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26496","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26497","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26497","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26497","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26497","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26497","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26497","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26497","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26497","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26497","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26498","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26498","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26498","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26498","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26498","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26498","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26498","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26498","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26498","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26499","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26499","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26499","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26499","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26499","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26499","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26499","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26499","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26499","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26500","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26500","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26500","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26500","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26500","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26500","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26500","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26500","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26500","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26502","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26502","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26502","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26502","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26502","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26502","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26502","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26502","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26502","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26508","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26508","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26508","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26508","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26508","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26508","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26508","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26508","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26508","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26510","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26510","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26510","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26510","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26510","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26510","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26510","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26510","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26510","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26516","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26516","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26516","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26516","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26516","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26516","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26516","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26516","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26516","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26517","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26517","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26517","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26517","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26517","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26517","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26517","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26517","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26517","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26518","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26518","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26518","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26518","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26518","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26518","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26518","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26518","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26518","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26520","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26520","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26520","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26520","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26520","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26520","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26520","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26520","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26520","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26525","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26525","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26525","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26525","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26525","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26525","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26525","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26525","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26525","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26530","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26530","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,0.50,"090",,,
"26531","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"26531","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,0.50,"090",,,
"26535","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"26535","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,0.50,"090",,,
"26536","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26536","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26536","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26536","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26536","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26536","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26536","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26540","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26540","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26540","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26540","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26540","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26540","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26540","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26540","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26540","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26541","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26541","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26541","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26541","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26541","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26541","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26541","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26541","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26541","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26542","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26542","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26542","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26542","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26542","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26542","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26542","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26542","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26542","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26545","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26545","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26545","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26545","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26545","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26545","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26545","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26545","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26545","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26546","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090","26545",,
"26546","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"26546","CMS WALK: BOTH SITES","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090","26545",,
"26546","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","26545",,
"26548","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26548","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26548","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26548","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26548","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26548","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26548","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26548","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26548","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26550","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26550","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26550","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26550","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26550","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26550","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26550","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26550","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26550","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26551","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090","26550",,
"26551","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"26551","CMS WALK: BOTH SITES","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090","26550",,
"26551","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090","26550",,
"26553","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"26553","CMS WALK: BOTH SITES","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090","26550",,
"26553","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090","26550",,
"26554","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,8.00,"090",,"Apr06","J"
"26554","CMS WALK: BOTH SITES","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090","26550",,
"26554","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","26550",,
"26555","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26555","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26555","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26555","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26555","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26555","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26555","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26555","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26555","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26556","CMS WALK: BOTH SITES","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,2.00,"090","26550",,
"26556","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,8.00,"090",,"Apr06","J"
"26556","CMS WALK: BOTH SITES","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090","26550",,
"26556","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","26550",,
"26560","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26560","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26560","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26560","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26560","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26560","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26560","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26560","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26560","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26561","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26561","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26561","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26561","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26561","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26561","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26561","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26561","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26561","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26562","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26562","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26562","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26562","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26562","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26562","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26562","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26562","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26562","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26565","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26565","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26565","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26565","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26565","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26565","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26565","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26565","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26565","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26567","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26567","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26567","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26567","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26567","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26567","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26567","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26567","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26567","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26568","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26568","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26568","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,10.00,"090",,,
"26568","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"26568","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,15.00,"090",,,
"26568","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,5.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,5.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26568","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26568","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26568","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26580","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26580","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26580","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26580","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26580","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26580","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26580","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26580","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26580","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26587","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"26587","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"26590","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26590","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26590","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26590","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26590","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26590","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26590","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26590","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26590","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26591","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26591","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26591","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26591","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26591","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26591","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26591","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26591","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26591","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26593","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26593","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26593","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26593","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26593","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26593","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26593","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26593","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26593","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26596","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26596","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26596","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"26596","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"26596","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"26596","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,1.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,1.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26596","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26596","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26596","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"26600","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26600","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26600","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26605","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"26605","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26605","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26605","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26605","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26605","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26605","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26607","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,5.00,"090",,,
"26607","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"26607","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,5.00,"090",,,
"26607","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,5.00,"090",,,
"26607","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,,
"26607","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,10.00,"090",,,
"26607","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"26607","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"26607","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,10.00,"090",,,
"26608","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26608","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"26608","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"26608","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26608","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"26608","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"26608","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"26608","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"26608","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"26608","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"26608","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"26608","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"26608","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"26608","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"26615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26615","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26615","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26615","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26641","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"26641","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26641","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26641","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26641","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26641","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26641","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26645","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"26645","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26645","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26645","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26645","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26645","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26645","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26650","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26650","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,"cp"
"26650","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,"cp"
"26650","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,"cp"
"26650","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,"cp"
"26650","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,"cp"
"26650","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,"cp"
"26650","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,"cp"
"26650","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,"cp"
"26650","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,"cp"
"26650","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,"cp"
"26650","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,"cp"
"26650","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,"cp"
"26665","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26665","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26665","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26665","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26670","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"26670","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26670","CPEP","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26670","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26670","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26670","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26670","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26675","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"26675","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26675","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26675","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26675","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26675","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26675","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26676","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26676","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"26676","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"26676","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26676","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"26676","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"26676","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"26676","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"26676","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"26676","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"26676","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"26676","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"26676","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"26676","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"26685","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26685","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26685","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26685","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26686","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26686","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26686","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"26686","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"26700","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"26700","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26700","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26700","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"26705","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26705","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26706","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26715","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26715","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26715","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26715","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26720","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"26720","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26720","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"26725","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26725","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26727","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26727","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"26727","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"26727","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26727","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"26727","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"26727","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"26727","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"26727","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"26727","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"26727","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"26727","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"26727","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"26727","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"26735","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26735","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26735","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26735","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26740","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"26740","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26740","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"26742","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26742","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26746","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","11"
"26746","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26746","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26746","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26750","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"26750","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26750","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"26755","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26755","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26756","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26756","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"26756","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"26756","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26756","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"26756","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"26756","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"26756","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"26756","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"26756","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"26756","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"26756","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"26756","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"26756","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"26765","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26765","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26765","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26765","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26770","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"26770","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26770","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"26775","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Wound Care, Dressings","SG086","splint, finger (metal-foam)","item",1.65,1.00,0.00,"090",,"Aug03","5"
"26775","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26776","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26776","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"26776","CPEP","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,,1.00,"090",,,
"26776","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,,
"26776","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"26776","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"26776","CPEP","Hypodermic, IV","SC031","needle, 30g","item",0.34,,1.00,"090",,,
"26776","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"26776","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"26776","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,,
"26776","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"26776","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,,10.00,"090",,,
"26776","CPEP","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,1.00,"090",,,
"26776","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,,
"26785","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","11"
"26785","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","11"
"26785","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"cp"
"26785","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,"cp"
"26820","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26820","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26820","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26820","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26820","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26820","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26820","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26820","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26820","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26841","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26841","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26841","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26841","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26841","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26841","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26841","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26841","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26841","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26842","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26842","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26842","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26842","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26842","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26842","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26842","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26842","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26842","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26843","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26843","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26843","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26843","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26843","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26843","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26843","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26843","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26843","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26844","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26844","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26844","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26844","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26844","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26844","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26844","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26844","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26844","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26850","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26850","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26850","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26850","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26850","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26850","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26850","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26850","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26850","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26852","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26852","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26852","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26852","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26852","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26852","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26852","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26852","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26852","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26860","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26860","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26860","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26860","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26860","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26860","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26860","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26860","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26860","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26861","CPEP","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"26862","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26862","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26862","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26862","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26862","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26862","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26862","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26862","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26862","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26863","CPEP","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"26910","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26910","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26910","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26910","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26910","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26910","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26910","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26910","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26910","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26951","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"26951","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26951","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26951","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26951","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26951","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26951","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26951","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26951","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26952","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26952","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"26952","CPEP","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,,
"26952","CPEP","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"26952","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,9.00,"090",,,
"26952","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,2.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,2.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,,3.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG029","casting tape, fiberglass 4in x 4yd","item",12.45,,3.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,4.00,"090",,,
"26952","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090",,,
"26952","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,150.00,"090",,,
"26952","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"26989","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"26990","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26990","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"26990","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"26990","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"26990","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,5.00,"090",,,
"26990","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,30.00,"090",,,
"26990","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"26990","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"26990","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"26990","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"26991","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"26991","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,2.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"26991","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"090",,"Aug03","5"
"26992","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"26992","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"26992","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"26992","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"26992","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,5.00,"090",,,
"26992","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,30.00,"090",,,
"26992","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"26992","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"26992","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"26992","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27000","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27000","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27001","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27001","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27003","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27003","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27005","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27005","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27006","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27006","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27025","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27025","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27027","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT09","5"
"27027","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","5"
"27027","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,1.00,"000",,"CPT09","5"
"27027","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,1.00,"000",,"CPT09","5"
"27030","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27030","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27033","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27033","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27035","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27035","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27036","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27036","CMS WALK: BOTH SITES","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090","27035",,
"27036","CMS WALK: BOTH SITES","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090","27035",,
"27036","CMS WALK: BOTH SITES","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090","27035",,
"27036","CMS WALK: BOTH SITES","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090","27035",,
"27036","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,10.00,"090","27035",,
"27036","CMS WALK: BOTH SITES","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090","27035",,
"27040","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"27040","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"27040","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"27040","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"27041","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27041","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27043","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"27043","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"27045","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27047","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"27047","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"27047","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"27047","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"27048","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"27048","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27049","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27049","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27050","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27050","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27052","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27052","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27054","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27054","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27057","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT09","5"
"27057","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","5"
"27057","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,1.00,"000",,"CPT09","5"
"27057","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,1.00,"000",,"CPT09","5"
"27059","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"27059","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27060","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27060","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27062","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr08","ss"
"27062","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,"ss"
"27065","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27065","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27066","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27066","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27067","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27067","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27070","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27070","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27070","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"27070","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"27070","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,5.00,"090",,,
"27070","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,30.00,"090",,,
"27070","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"27070","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"27070","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"27070","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27071","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27071","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27071","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"27071","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"27071","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,5.00,"090",,,
"27071","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,30.00,"090",,,
"27071","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"27071","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"27071","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"27071","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27075","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27075","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27076","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27076","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27077","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27077","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27078","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27078","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27080","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27080","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27086","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"27086","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"27086","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"27086","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"27087","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27087","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27090","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27090","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27091","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27091","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27093","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Mar04","R"
"27093","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","R"
"27093","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","R"
"27093","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Mar04","R"
"27093","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Mar04","R"
"27093","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"000",,"Mar04","R"
"27095","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Mar04","R"
"27096","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,"CPT12","May 4"
"27096","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 4"
"27096","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 4"
"27096","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT12","May 4"
"27096","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT12","May 4"
"27096","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,"CPT12","May 4"
"27096","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,2.00,,"000",,"CPT12","May 4"
"27097","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27097","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27098","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27098","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27100","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27100","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27105","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27105","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27110","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27110","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27111","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27111","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27120","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27120","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27122","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27122","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27125","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27125","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27130","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27130","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27132","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27132","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27134","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27134","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27137","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27137","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27138","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27138","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27140","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27140","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27146","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27146","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27147","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27147","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27151","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27151","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27156","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27156","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27158","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27158","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27161","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27161","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27165","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27165","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27170","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27170","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27175","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27176","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27176","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27177","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27177","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27178","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27178","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27179","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27179","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27181","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27181","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27185","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27185","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27187","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27187","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27193","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27194","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"27200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","5"
"27202","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"27202","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27215","CMS WALK:","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","G0412","CPT09","rv"
"27215","CMS WALK:","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","G0412","CPT09","rv"
"27216","CMS WALK:","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","G0413","CPT09","rv"
"27216","CMS WALK:","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","G0413","CPT09","rv"
"27217","CMS WALK:","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","G0414","CPT09","rv"
"27217","CMS WALK:","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","G0414","CPT09","rv"
"27218","CMS WALK:","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","G0415","CPT09","rv"
"27218","CMS WALK:","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","G0415","CPT09","rv"
"27220","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27222","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27222","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27226","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27226","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27227","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27227","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27228","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27228","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27230","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27232","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"27235","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27235","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27236","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27236","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27238","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27240","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27244","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","hi"
"27244","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27245","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","hi"
"27245","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27246","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"27248","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27248","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27250","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Feb08","ss"
"27252","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27253","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27253","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27254","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27254","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27256","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"27257","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"27258","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27258","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27259","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27259","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27265","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27266","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27267","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","12"
"27268","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","12"
"27269","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","12"
"27269","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","12"
"27275","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"27280","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27280","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27282","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27282","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27284","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27284","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27286","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27286","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27290","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"27290","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27295","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27295","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27299","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"27301","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27301","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27301","PEAC","Lab","SL146","tubed culture media","item",0.84,1.00,0.00,"090",,"Aug03","5"
"27303","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27303","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27305","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27305","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27306","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27306","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27307","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27307","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27310","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27310","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27323","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"27323","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"27323","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"27323","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"27324","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27324","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27325","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27325","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27325","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"27326","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27326","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27326","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"27327","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"27327","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"27327","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"27327","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"27328","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"27328","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27329","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27329","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27330","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27330","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27331","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27331","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27332","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27332","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27333","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27333","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27334","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27334","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27335","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27335","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27337","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"27337","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27339","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"27339","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27340","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27340","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27345","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27345","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27347","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27347","CMS","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","27345",,
"27350","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27350","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27355","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27355","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27356","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27356","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27357","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27357","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27358","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"27360","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27360","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27360","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"27360","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"27360","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,5.00,"090",,,
"27360","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,30.00,"090",,,
"27360","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"27360","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,600.00,"090",,,
"27360","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"27360","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27364","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"27364","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27365","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27365","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27370","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Jan04","7"
"27370","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Jan04","7"
"27370","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","7"
"27370","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Jan04","7"
"27370","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Jan04","7"
"27372","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27372","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"27372","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27372","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27380","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27380","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27380","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,,
"27380","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"27380","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"27380","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,,
"27380","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"27380","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"27380","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"27380","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,
"27380","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27381","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27381","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27381","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,,
"27381","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"27381","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"27381","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,,
"27381","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"27381","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"27381","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"27381","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,
"27381","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27385","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT12","5 Year"
"27385","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27385","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,,
"27385","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"27385","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"27385","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"CPT12","5 Year"
"27385","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"27385","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,21.00,"090",,"CPT12","5 Year"
"27385","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,274.00,"090",,"CPT12","5 Year"
"27385","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,34.00,"090",,"CPT12","5 Year"
"27385","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"CPT12","5 Year"
"27386","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27386","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27386","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,,
"27386","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"27386","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"27386","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,,
"27386","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"27386","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"27386","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"27386","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,
"27386","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,,
"27390","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27390","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27391","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27391","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27392","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27392","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27393","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"27393","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27394","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27394","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27395","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27395","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27396","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27396","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27397","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27397","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27400","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27403","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27403","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27403","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,3.00,"090",,,
"27405","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27405","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27407","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27407","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27409","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27409","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27412","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27412","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"27415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27415","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"27416","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","14"
"27416","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","14"
"27418","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27418","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27420","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27420","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27422","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27422","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27424","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27424","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27425","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27425","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27427","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27427","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27428","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27428","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27429","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"27429","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27430","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27430","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27435","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27435","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27437","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27437","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27438","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27438","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27440","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27440","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27441","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27441","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27442","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27442","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27443","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27443","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27445","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27445","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27446","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27446","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27447","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27447","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27448","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27448","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27450","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27450","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27454","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27454","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27455","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27455","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27455","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,,
"27455","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,2.00,"090",,,
"27455","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"27455","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,,
"27455","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"27455","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"27457","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27457","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27465","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27465","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27466","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27466","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27468","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27468","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27470","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27470","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27472","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27472","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27475","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27475","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27477","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27477","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27479","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27479","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27485","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27485","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27486","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27486","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27487","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27487","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27488","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27488","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27495","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27495","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27496","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27496","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27497","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27497","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27498","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27498","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27499","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27499","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27500","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27500","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27500","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27500","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27501","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27501","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27501","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27501","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27502","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27503","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27506","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27506","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27507","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27507","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"27508","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27508","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27508","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27508","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27509","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27509","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27509","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"27509","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"27509","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,3.00,"090",,,
"27509","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090",,,
"27509","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"27509","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,360.00,"090",,,
"27509","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,
"27510","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27511","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27511","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27513","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27513","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27514","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27514","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27516","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"27516","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27516","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27516","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27517","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.50,"090",,"Aug03","5"
"27519","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27519","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27520","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27520","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27520","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27520","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27524","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27524","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT12","5 Year"
"27530","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"090",,"CPT12","5 Year"
"27530","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"090",,"CPT12","5 Year"
"27530","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"090",,"CPT12","5 Year"
"27532","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27532","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27532","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27532","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27535","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27536","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27536","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27538","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"27538","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27538","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27538","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27540","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27550","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"27550","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27550","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27550","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27552","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27556","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27557","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27557","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"OCT08","rv"
"27558","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"OCT08","rv"
"27560","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27560","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27560","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27560","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27562","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27566","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27566","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27570","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"27580","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27580","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27580","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"27580","CPEP","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"27580","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,4.00,"090",,,
"27580","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,24.00,"090",,,
"27580","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"27580","CPEP","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,480.00,"090",,,
"27580","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"27580","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,,
"27590","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27590","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27591","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27591","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27592","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27592","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27594","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27594","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27596","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27596","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27598","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27598","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27599","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"27600","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27600","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27601","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27601","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27602","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27602","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27603","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27603","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27603","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"27604","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27604","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27605","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"27605","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"27605","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,3.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,108.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","6"
"27605","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Mar03","6"
"27606","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"27606","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Mar03","6"
"27607","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27607","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27610","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27610","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27612","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27612","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27613","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"27613","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"27613","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"27613","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"27614","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27614","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"27614","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27614","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27615","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27615","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27616","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"27616","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27618","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"27618","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF010","blade, surgical hair clipper","item",5.03,0.50,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"27618","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"27619","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"27619","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27620","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27620","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27625","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27625","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27626","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27626","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27630","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27630","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"27630","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27630","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27632","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","27"
"27632","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27634","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"27634","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"27635","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27635","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27637","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27637","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27638","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27638","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27640","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27640","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27641","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27641","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27645","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27645","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27646","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"27646","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27647","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"27647","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"27648","PEAC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Jan04","7"
"27648","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Jan04","7"
"27648","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","7"
"27648","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Jan04","7"
"27648","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Jan04","7"
"27650","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Feb08","ss"
"27650","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27652","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27652","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27654","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr08","ss"
"27654","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr03","J"
"27656","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27656","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"27656","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27656","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27658","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","5"
"27658","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27659","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","5"
"27659","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27664","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","5"
"27664","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27665","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","5"
"27665","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27675","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27675","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27676","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27676","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27680","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27680","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27681","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27681","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27685","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27685","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"27685","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"27685","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"27686","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","5"
"27686","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27687","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27687","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27690","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr08","ss"
"27690","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27691","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr08","ss"
"27691","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27692","CMS WALK: BOTH SITES","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","26861",,
"27695","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27695","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27696","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27696","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27698","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27698","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27700","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27700","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27702","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27702","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27703","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"27703","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27704","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"27704","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"27705","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27705","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27707","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27707","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27709","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27709","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27712","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27712","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27715","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27715","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27720","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27720","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27722","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27722","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27724","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27724","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27725","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27725","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27726","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","16"
"27727","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27727","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27730","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"27730","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27732","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"27732","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27734","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27734","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27740","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"27740","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27742","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"27742","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"27745","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27745","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27750","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27750","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27750","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27750","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27752","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27752","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27752","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27752","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27756","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27756","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27758","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27758","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27759","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27759","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27760","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27760","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27760","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27760","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27762","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.50,4.50,"090",,"Aug03","5"
"27762","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27762","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27762","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27766","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","17"
"27766","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","17"
"27767","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","15"
"27767","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"CPT08","15"
"27767","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT08","15"
"27768","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","15"
"27769","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","14"
"27769","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","15"
"27780","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27780","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27780","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27780","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27781","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27781","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27781","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27781","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27784","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27784","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27786","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27786","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27786","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27786","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27788","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27788","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27788","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27788","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27792","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27792","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27808","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27808","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27808","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27808","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27810","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27810","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27810","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27810","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27814","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27814","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27816","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27816","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27816","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27816","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27818","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"27818","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27818","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27818","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27822","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27822","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27822","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"27822","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"27822","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"27822","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"27822","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"27822","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"27822","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"27823","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27823","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27823","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"27823","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"27823","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"27823","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"27823","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"27823","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"27823","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"27824","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27824","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27824","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27824","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27824","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27824","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27824","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27825","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"27825","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27825","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27825","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27825","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"27825","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"27825","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"27826","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27826","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27826","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"27826","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"27826","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"27826","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"27826","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"27826","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"27826","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"27827","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","rv"
"27827","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27827","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"27827","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"27827","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"27827","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"27827","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"27827","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"27827","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"27828","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","rv"
"27828","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27828","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"27828","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"rc"
"27828","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"27828","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"27828","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"27828","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"27828","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"27829","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27829","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27829","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,12.00,"090",,,"cp"
"27829","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,"cp"
"27829","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,"cp"
"27829","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,"cp"
"27829","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,"cp"
"27829","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,"cp"
"27829","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,9.00,"090",,,"cp"
"27830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"27830","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"27830","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"27830","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"27831","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27832","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"27832","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","rv"
"27840","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27842","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27846","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27846","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27848","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27848","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27860","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Mar03","6"
"27870","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27870","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27871","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27871","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27880","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"27880","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27881","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27881","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27882","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27882","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27884","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27884","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27886","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27886","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27888","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27888","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27889","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27889","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"27892","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27892","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27893","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"27893","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27894","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"27894","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"27899","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"28001","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"28001","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"28001","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"28001","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"28002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT12","5 Year"
"28002","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"28002","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,0.03,0.00,"010",,"Aug03","5"
"28002","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"28002","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"28003","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"CPT12","5 Year"
"28003","RUC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"090",,"CPT12","5 Year"
"28003","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"CPT12","5 Year"
"28003","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"090",,"CPT12","5 Year"
"28003","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"090",,"CPT12","5 Year"
"28003","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"090",,"CPT12","5 Year"
"28003","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,"CPT12","5 Year"
"28003","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"090",,"CPT12","5 Year"
"28005","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"28005","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28005","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"28005","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,6.00,"090",,,
"28005","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"28008","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28008","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28008","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28010","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28010","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28011","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28011","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28020","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28020","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28020","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28022","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28022","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28022","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28024","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28024","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28024","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28035","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28035","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28035","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28039","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","27"
"28039","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","27"
"28039","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Accessory, Procedure","SD123","tourniquet, ankle, sterile","item",42.87,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"CPT10","27"
"28039","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,6.00,0.00,"090",,"CPT10","27"
"28039","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"CPT10","27"
"28039","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","27"
"28039","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","27"
"28039","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","27"
"28041","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","27"
"28041","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"28043","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"CPT10","rv"
"28043","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Accessory, Procedure","SD123","tourniquet, ankle, sterile","item",42.87,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,4.50,0.00,"090",,"CPT10","rv"
"28043","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,4.50,0.00,"090",,"CPT10","rv"
"28043","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"28043","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"CPT10","rv"
"28045","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Accessory, Procedure","SD123","tourniquet, ankle, sterile","item",42.87,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,6.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,10.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"CPT10","rv"
"28045","PEAC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"CPT10","rv"
"28046","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","rv"
"28046","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"28047","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT10","27"
"28047","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","27"
"28050","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28050","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28050","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28050","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28052","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28052","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28052","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28054","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28054","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28054","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28055","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"28055","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28055","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"28060","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28060","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28060","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28060","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28062","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28062","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28062","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28070","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28070","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28070","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28072","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28072","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28072","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"28080","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28080","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28080","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28086","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28086","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28086","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28088","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28088","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28088","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28090","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28090","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28090","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28092","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28092","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28092","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28100","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28100","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28100","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28102","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28102","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28103","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","5"
"28103","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"28104","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28104","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28104","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28104","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28106","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28106","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28107","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28107","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28107","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28107","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28108","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28108","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28108","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28110","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28110","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28110","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28111","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28111","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28111","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28112","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28112","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28112","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"28113","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28113","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28113","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","5"
"28114","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28114","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28114","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28116","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28116","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28116","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28118","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28118","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28118","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28119","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28119","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28119","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28120","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT10","mv"
"28120","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28120","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28120","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT10","mv"
"28122","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28122","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28122","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28124","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28124","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28124","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28126","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28126","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28126","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28130","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28130","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28140","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28140","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28140","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28140","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28150","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28150","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28150","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28153","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28153","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28153","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28160","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28160","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28160","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28171","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"28171","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"28173","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"28173","CMS","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"28175","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","rv"
"28175","CMS","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","rv"
"28190","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","5"
"28190","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","5"
"28190","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,0.00,"010",,"Aug03","5"
"28190","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Aug03","5"
"28192","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28192","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28192","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28192","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28193","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28193","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28193","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28200","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28200","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28200","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28202","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28202","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28202","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28208","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28208","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28208","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28210","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28210","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28210","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28220","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28220","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28220","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28222","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28222","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28222","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28225","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28225","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28225","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28226","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28226","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28226","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28230","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28230","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28230","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28232","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28232","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28232","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28234","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28234","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28234","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28238","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28238","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28238","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28240","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28240","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28240","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28250","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28250","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28250","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28260","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28260","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28260","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28261","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28261","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28261","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28262","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28262","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28262","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28264","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28264","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28264","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28270","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28270","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28270","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28272","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28272","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28272","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28280","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28280","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28280","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28285","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT12","5 Year"
"28285","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28285","RUC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"090",,"CPT12","5 Year"
"28285","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"CPT12","5 Year"
"28285","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"090",,"CPT12","5 Year"
"28285","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"090",,"CPT12","5 Year"
"28285","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"090",,"CPT12","5 Year"
"28285","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,"CPT12","5 Year"
"28285","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"090",,"CPT12","5 Year"
"28286","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28286","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28286","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28286","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","5"
"28288","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28288","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28288","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28289","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28289","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Accessory, Procedure","SD142","bur, surgical, sterile (drill)","item",4.79,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28289","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28290","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28290","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28290","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,"Aug03","5"
"28292","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28292","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28292","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28293","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,8.00,7.00,"090",,,
"28293","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,,
"28293","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"090",,,
"28293","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"28293","PEAC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"090",,,
"28293","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"28293","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"090",,,
"28293","PEAC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,1.00,,"090",,,
"28293","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,,"090",,,
"28293","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,,"090",,,
"28293","PEAC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"090",,,
"28293","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"090",,,
"28293","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"090",,,
"28293","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"090",,,
"28293","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,6.00,,"090",,,
"28293","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"090",,,
"28293","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"090",,,
"28293","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,,"090",,,
"28293","PEAC","Accessory, Procedure","SD123","tourniquet, ankle, sterile","item",42.87,1.00,0.00,"090",,,
"28293","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,2.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF027","endoscopic burr, surgical","item",40.00,1.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,4.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"090",,,
"28293","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG007","adhesive, skin (Dermabond)","item",30.06,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,3.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG057","gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)","item",1.47,1.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,,"090",,,
"28293","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"28293","PEAC","Pharmacy, Rx","SH012","bacitracin powder (Altracin)","gm",3.84,1.00,,"090",,,
"28293","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"090",,,
"28293","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,,"090",,,
"28293","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"28293","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,,
"28293","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"090",,,
"28293","PEAC","Pharmacy, NonRx","SJ025","ethyl chloride spray","oz",4.40,1.00,,"090",,,
"28293","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"090",,,
"28293","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"090",,,
"28293","PEAC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"090",,,
"28294","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28294","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28294","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28294","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Feb08","ss"
"28296","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28296","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28296","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28297","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28297","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28297","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28298","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28298","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28298","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28299","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28299","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28299","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28300","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"28300","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"28302","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","5"
"28302","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"28304","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28304","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28304","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28304","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28305","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.50,"090",,"Aug03","5"
"28305","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","5"
"28306","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28306","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28306","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28306","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28307","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28307","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28307","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28308","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28308","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28308","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28309","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28309","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28310","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28310","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28310","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28310","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28312","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28312","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28312","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28313","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28313","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28313","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28315","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28315","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28315","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28320","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28320","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28322","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28322","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28322","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28322","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28340","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28340","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28340","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28341","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28341","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28341","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28344","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28344","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28344","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28345","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28345","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28345","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28360","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"28360","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"28360","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,
"28360","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,
"28360","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"28400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28400","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28400","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28400","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28405","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28405","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28405","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28405","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28406","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28406","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28406","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"28406","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"28406","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"28406","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,2.00,"090",,,
"28406","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"28406","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,76.00,"090",,,
"28415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","rv"
"28415","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","rv"
"28415","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"28415","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"28415","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"28415","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"28415","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"28415","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"28415","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"28420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","rv"
"28420","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","rv"
"28420","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"28420","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"28420","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"28420","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"28420","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"28420","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"cp"
"28420","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"28430","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28430","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28430","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28430","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28435","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28435","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28435","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28435","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28435","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28435","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28435","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28436","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28436","CPEP","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"28436","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"28436","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"28436","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"28436","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,2.00,"090",,,
"28436","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"28436","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,76.00,"090",,,
"28445","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","rv"
"28445","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"28446","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT08","18"
"28446","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","18"
"28450","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28450","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28450","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28450","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28455","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28455","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Apr06","J"
"28455","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28455","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28455","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28455","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28455","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28455","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28456","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28456","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28456","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"28456","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"28456","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"28456","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,2.00,"090",,,
"28456","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"28456","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,76.00,"090",,,
"28465","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"28465","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","rv"
"28465","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,12.00,"090",,,"cp"
"28465","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,"cp"
"28465","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,"cp"
"28465","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,"cp"
"28465","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"28465","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,"cp"
"28465","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,9.00,"090",,,"cp"
"28470","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,3.00,"090",,"CPT13","MD Time"
"28470","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"CPT13","MD Time"
"28470","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"CPT13","MD Time"
"28470","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"CPT13","MD Time"
"28475","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28475","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28475","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28475","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28475","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28475","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28475","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28476","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"28476","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28476","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"28476","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"28476","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,1.00,"090",,,
"28476","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,,2.00,"090",,,
"28476","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"28476","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,76.00,"090",,,
"28485","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","rv"
"28485","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","rv"
"28485","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,16.00,"090",,,"cp"
"28485","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,,"cp"
"28485","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,,"cp"
"28485","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,8.00,"090",,,"cp"
"28485","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,"cp"
"28485","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,"pc"
"28485","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,12.00,"090",,,"cp"
"28490","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","5"
"28490","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28490","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28490","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28495","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"28495","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28495","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28495","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28495","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28495","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28495","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28496","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28496","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Cutters, Closures, Cautery","SF042","wire, Kirschner 7.5in","item",4.80,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28496","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","rv"
"28505","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28505","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28505","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28510","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","5"
"28510","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28510","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28515","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"28515","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28515","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28515","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28515","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28515","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","rv"
"28525","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28525","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28525","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28530","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Aug03","5"
"28530","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28530","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28530","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"28531","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28531","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28531","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28540","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28540","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28540","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28540","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28545","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28545","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28545","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28545","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28545","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28545","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28545","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28546","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28546","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Cutters, Closures, Cautery","SF042","wire, Kirschner 7.5in","item",4.80,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28546","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","rv"
"28555","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28555","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28555","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28570","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","5"
"28570","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28570","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28570","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28575","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28575","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28575","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28575","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28575","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28575","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28575","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28576","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"090",,"Aug03","5"
"28585","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"CPT08","rv"
"28585","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28585","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28585","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","5"
"28600","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28600","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28600","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28605","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","5"
"28605","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Aug03","5"
"28605","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"090",,"Aug03","5"
"28605","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Aug03","5"
"28605","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28605","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28605","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28606","PEAC","Gown, Drape","SB036","paper, exam table","foot",0.01,,28.00,,,"CMS06",
"28615","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,3.00,"090",,,"cp"
"28615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"CPT08","rv"
"28615","CPEP","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,,12.00,"090",,,"cp"
"28615","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,"cp"
"28615","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,,"cp"
"28615","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,"cp"
"28615","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,"cp"
"28615","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,30.00,"090",,,"cp"
"28615","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,9.00,"090",,,"cp"
"28630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"28630","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Mar03","6"
"28630","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,1.00,"010",,"Mar03","6"
"28630","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar03","6"
"28630","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,3.00,0.00,"010",,"Mar03","6"
"28630","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"28635","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,1.00,"010",,"Mar03","6"
"28635","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,3.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"28635","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"28636","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","6"
"28636","PEAC","Kit, Pack, Tray","SA081","pack, drapes, ortho, small","pack",1.12,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Kit, Pack, Tray","SA084","pack, protective, ortho, small","pack",4.44,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Wound Care, Dressings","SG025","cast, padding 4in x 4yd (Webril)","item",1.58,3.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Wound Care, Dressings","SG028","cast, stockinette 6in","yd",0.66,3.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Wound Care, Dressings","SG068","plaster bandage (4in x 5yd uou)","item",1.86,3.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,108.00,0.00,"010",,"Mar03","6"
"28636","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"28645","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28645","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","rv"
"28645","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28645","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28645","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28660","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"28660","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"010",,"Mar03","6"
"28660","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"010",,"Mar03","6"
"28660","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"28665","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","6"
"28665","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"010",,"Mar03","6"
"28665","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","6"
"28665","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","6"
"28665","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"010",,"Mar03","6"
"28665","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar03","6"
"28665","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"Mar03","6"
"28666","CPEP","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"28666","CPEP","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"010",,,
"28666","CPEP","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,6.00,,"010",,,
"28666","CPEP","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"28666","CPEP","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,1.00,,"010",,,
"28666","CPEP","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,2.00,"010",,,
"28666","CPEP","Gown, Drape","SB024","gloves, sterile","pair",0.84,6.00,,"010",,,
"28666","CPEP","Gown, Drape","SB026","gown, patient","item",0.53,1.00,1.00,"010",,,
"28666","CPEP","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,3.00,,"010",,,
"28666","CPEP","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"010",,,
"28666","CPEP","Gown, Drape","SB036","paper, exam table","foot",0.01,14.00,7.00,"010",,,
"28666","CPEP","Gown, Drape","SB037","pillow case","item",0.30,1.00,1.00,"010",,,
"28666","CPEP","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"010",,,
"28666","CPEP","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,1.00,,"010",,,
"28666","CPEP","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,5.00,,"010",,,
"28666","CPEP","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"010",,,
"28666","CPEP","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,1.00,"010",,,
"28666","CPEP","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"010",,,
"28666","CPEP","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,6.00,,"010",,,
"28666","CPEP","Cutters, Closures, Cautery","SF034","stapler, surgical","item",7.50,1.00,,"010",,,
"28666","CPEP","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,,"010",,,
"28666","CPEP","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,,"010",,,
"28666","CPEP","Cutters, Closures, Cautery","SF042","wire, Kirschner 7.5in","item",4.80,2.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,1.00,"010",,,
"28666","CPEP","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,2.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,1.00,"010",,,
"28666","CPEP","Wound Care, Dressings","SG023","cast, cutter blade","item",9.34,2.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,22.00,2.00,"010",,,
"28666","CPEP","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,2.00,2.00,"010",,,
"28666","CPEP","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,,
"28666","CPEP","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,540.00,180.00,"010",,,
"28666","CPEP","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"010",,,
"28666","CPEP","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"28666","CPEP","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"28666","CPEP","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,136.00,76.00,"010",,,
"28666","CPEP","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"28675","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28675","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT08","rv"
"28675","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28675","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28675","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28705","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28705","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28715","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"CPT12","5 Year"
"28715","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","5 Year"
"28725","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT12","MD Time"
"28725","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28730","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"CPT12","MD Time"
"28730","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28735","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28735","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28737","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"28737","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"28740","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28740","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28740","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28740","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28750","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28750","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28750","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","5"
"28755","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28755","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28755","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","5"
"28760","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28760","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28760","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28800","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"28800","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"28805","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"28805","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"28810","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"28810","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"28820","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT12","5 Year"
"28820","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"CPT12","5 Year"
"28820","RUC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"090",,"CPT12","5 Year"
"28820","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"CPT12","5 Year"
"28820","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"090",,"CPT12","5 Year"
"28820","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"090",,"CPT12","5 Year"
"28820","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"090",,"CPT12","5 Year"
"28820","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,"CPT12","5 Year"
"28820","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"090",,"CPT12","5 Year"
"28825","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Apr08","ss"
"28825","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","5"
"28825","PEAC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Kit, Pack, Tray","SA083","pack, protective, ortho, large","pack",9.18,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Cutters, Closures, Cautery","SF011","blade, surgical, sterile, power saw","item",9.90,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","5"
"28825","PEAC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","5"
"28890","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"RUC05",
"28890","CMS","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"RUC05",
"28890","CMS","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"RUC05",
"28890","CMS","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"RUC05",
"28890","CMS","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,5.00,0.00,"090",,"RUC05",
"28890","CMS","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"RUC05",
"28890","CMS","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"RUC05",
"28899","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"29000","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29000","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29010","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29010","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29015","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29015","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29020","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29020","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29025","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29025","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29035","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29035","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29040","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29040","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29044","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29044","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29046","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29046","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29049","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29049","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29049","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29055","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29055","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29058","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29058","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29058","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29065","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29065","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29065","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29075","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29075","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29075","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29085","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29085","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29085","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"000",,,
"29086","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29086","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29086","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29105","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29105","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29105","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29125","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29125","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29125","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29126","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29126","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29126","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29130","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"29131","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"29200","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29200","PEAC","Wound Care, Dressings","SG019","bandage, Kling, non-sterile 6in","item",0.79,1.00,,"000",,,
"29200","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29240","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29240","PEAC","Wound Care, Dressings","SG019","bandage, Kling, non-sterile 6in","item",0.79,1.00,,"000",,,
"29240","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29260","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29260","PEAC","Wound Care, Dressings","SG019","bandage, Kling, non-sterile 6in","item",0.79,1.00,,"000",,,
"29260","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29280","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29280","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"000",,,
"29280","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29305","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29305","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29305","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29325","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29325","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,7.00,1.00,"000",,,
"29325","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29345","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29345","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29345","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29355","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29355","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29355","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29358","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29358","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29358","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29365","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29365","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29365","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29405","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29405","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29405","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29425","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29425","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29425","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29435","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29435","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29435","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29440","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"29440","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"29440","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29445","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29445","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29445","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29450","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29450","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29505","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29505","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29505","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"29515","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"000",,,
"29515","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,1.00,"000",,,
"29515","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,1.00,"000",,,
"29520","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29520","PEAC","Wound Care, Dressings","SG019","bandage, Kling, non-sterile 6in","item",0.79,1.00,,"000",,,
"29520","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29530","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29530","PEAC","Wound Care, Dressings","SG019","bandage, Kling, non-sterile 6in","item",0.79,1.00,,"000",,,
"29530","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29540","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29540","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29550","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29550","PEAC","Wound Care, Dressings","SG019","bandage, Kling, non-sterile 6in","item",0.79,1.00,,"000",,,
"29550","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29580","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"000",,,
"29580","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"29580","PEAC","Wound Care, Dressings","SG080","unna boot","item",4.56,1.00,,"000",,,
"29581","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","1"
"29581","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"CPT10","1"
"29581","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,0.00,"000",,"CPT10","1"
"29581","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT10","1"
"29581","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"CPT10","1"
"29581","RUC","Wound Care, Dressings","SG096","Multi-layer compression system bandages","item",16.39,1.00,0.00,"000",,"CPT12","CMS"
"29581","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"000",,"CPT10","1"
"29581","RUC","Pharmacy, Rx","SH098","chlorhexidine 4.0% (Hibiclens)","oz",,20.00,0.00,"000",,"CPT10","1"
"29581","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,"CPT10","1"
"29582","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29582","RUC","Wound Care, Dressings","SG096","Multi-layer compression system bandages","item",16.39,2.00,0.00,"000",,"CPT12","May 5 and 42"
"29582","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29583","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29583","RUC","Wound Care, Dressings","SG096","Multi-layer compression system bandages","item",16.39,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29583","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29584","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29584","RUC","Wound Care, Dressings","SG096","Multi-layer compression system bandages","item",16.39,2.00,0.00,"000",,"CPT12","May 5 and 42"
"29584","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,1.00,0.00,"000",,"CPT12","May 5 and 42"
"29700","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"000",,,
"29700","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,1.00,"000",,,
"29700","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29705","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"000",,,
"29705","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,1.00,"000",,,
"29705","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29710","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"000",,,
"29710","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,1.00,"000",,,
"29710","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29715","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"000",,,
"29715","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,1.00,"000",,,
"29715","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29720","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"29720","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"29720","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29730","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"29730","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"29730","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29740","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"29740","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"29740","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29750","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"29750","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"29750","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"29799","PEAC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"29800","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"29800","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"29800","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,3.00,"090",,"Apr06","J"
"29804","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"29804","PERC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"29804","PERC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,"Apr06","J"
"29805","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","29815",,
"29805","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29806","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29806","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29807","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29807","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29819","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29819","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29820","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29820","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29821","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29821","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29822","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29822","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29823","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29823","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29824","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29824","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29825","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29825","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29826","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 6"
"29827","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29827","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29828","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT13","Mar 2"
"29828","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT13","Mar 2"
"29830","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29830","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29834","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29834","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29835","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29835","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29836","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29836","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29837","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29837","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29838","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29838","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29840","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29840","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29843","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29843","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29844","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29844","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29845","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29845","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29846","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29846","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29847","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29847","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29848","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29848","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29850","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29850","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29851","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,,
"29851","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29855","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,,
"29855","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29856","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,,
"29856","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29860","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29860","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29861","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29861","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29862","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29862","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29863","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29863","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29866","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29866","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"29867","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29867","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"29868","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29868","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"29870","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"Oct09",
"29870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,3.00,"090",,"Oct09",
"29870","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,"Oct09",
"29870","RUC","Kit, Pack, Tray","SA080","pack, drapes, ortho, large","pack",40.64,1.00,,"090",,"Oct09",
"29870","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,,"090",,"Oct09",
"29870","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"090",,"Oct09",
"29870","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"090",,"Oct09",
"29870","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"Oct09",
"29870","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,"Oct09",
"29870","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,"Oct09",
"29870","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"090",,"Oct09",
"29870","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"090",,"Oct09",
"29870","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,"Oct09",
"29870","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"090",,"Oct09",
"29870","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"090",,"Oct09",
"29870","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"Oct09",
"29870","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,"Oct09",
"29870","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,"Oct09",
"29871","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29871","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29873","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29873","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29874","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29874","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29875","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29875","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29876","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29876","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29877","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29877","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29879","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29879","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29880","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","May 7"
"29880","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 7"
"29881","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","May 7"
"29881","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 7"
"29882","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29882","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29883","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29883","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29884","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29884","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29885","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29885","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29886","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29886","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29887","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29887","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29888","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr08","ss"
"29888","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29889","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"29889","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29891","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29891","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29892","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29892","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29893","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,7.00,6.00,"090",,,
"29893","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,,
"29893","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"090",,,
"29893","PEAC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,,
"29893","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"090",,,
"29893","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"090",,,
"29893","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,,
"29893","PEAC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,3.00,,"090",,,
"29893","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,,
"29893","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"090",,,
"29893","PEAC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"090",,,
"29893","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,5.00,,"090",,,
"29893","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"090",,,
"29893","PEAC","Cutters, Closures, Cautery","SF026","endoscopic blade, surgical","item",40.00,2.00,,"090",,,
"29893","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"090",,,
"29893","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"29893","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"090",,,
"29893","PEAC","Wound Care, Dressings","SG015","bandage, Esmarch-Martin, sterile 3in x 9ft","item",5.64,1.00,,"090",,,
"29893","PEAC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,,"090",,,
"29893","PEAC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,,"090",,,
"29893","PEAC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"090",,,
"29893","PEAC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,"090",,,
"29893","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,20.00,,"090",,,
"29893","PEAC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"090",,,
"29893","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"090",,,
"29893","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"29893","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"090",,,
"29893","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"090",,,
"29894","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29894","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29895","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29895","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29897","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"29897","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29898","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29898","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29899","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29899","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29900","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29900","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29901","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29901","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29902","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"29902","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"29904","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","20"
"29905","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","20"
"29906","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","20"
"29906","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","20"
"29907","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT08","20"
"29907","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","20"
"29914","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,4.00,"090",,"CPT11","1"
"29914","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,0.00,1.00,"090",,"CPT11","1"
"29915","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,4.00,"090",,"CPT11","1"
"29915","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,0.00,1.00,"090",,"CPT11","1"
"29916","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,4.00,"090",,"CPT11","1"
"29916","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,0.00,1.00,"090",,"CPT11","1"
"29999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"30000","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,,"010",,,
"30000","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30000","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30000","PEAC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"30000","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30000","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30000","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"30000","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"30000","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"30000","PEAC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"30000","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30000","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,2.00,,"010",,,
"30000","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"30000","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"30000","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"30000","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"30000","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30000","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30000","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"30000","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30020","PEAC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,,"010",,,
"30020","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30020","PEAC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"30020","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30020","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30020","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"30020","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"30020","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"30020","PEAC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"30020","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30020","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,2.00,,"010",,,
"30020","PEAC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"30020","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"30020","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"30020","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"30020","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30020","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30020","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"30020","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30100","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"30100","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"30100","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"30100","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,,
"30100","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"30100","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"30100","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"30100","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"30100","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"30100","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"30100","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"30100","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"30100","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"30110","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30110","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30110","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30110","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30110","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"30110","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"30110","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"30110","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30110","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,1.00,,"010",,,
"30110","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"30110","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30110","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30110","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"30110","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30115","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30115","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"30115","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30115","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"30115","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"30115","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"30115","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"30115","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"30115","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"30115","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"30115","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"30115","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"30115","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"30115","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.00,"090",,"Mar04","I"
"30115","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"30115","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"30115","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"30117","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,3.00,2.00,"090",,"Jan04","21"
"30117","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Jan04","21"
"30117","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,3.00,2.00,"090",,"Jan04","21"
"30117","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Jan04","21"
"30117","PEAC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,3.00,2.00,"090",,"Jan04","21"
"30117","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,4.00,"090",,"Jan04","21"
"30117","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Cutters, Closures, Cautery","SF028","laser tip (single use)","item",290.00,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,4.00,"090",,"Jan04","21"
"30117","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"090",,"Jan04","21"
"30117","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"30118","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30118","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"30118","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30118","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"30118","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"30118","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"30118","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"30118","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"30118","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"30118","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"30118","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"30118","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"30118","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"30118","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.00,"090",,"Mar04","I"
"30118","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"30118","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"30118","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"30120","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","I"
"30120","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,6.00,4.00,"090",,"Mar04","I"
"30120","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,2.00,"090",,"Mar04","I"
"30120","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,2.00,"090",,"Mar04","I"
"30120","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,2.00,"090",,"Mar04","I"
"30120","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,3.00,2.00,"090",,"Mar04","I"
"30120","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"090",,"Mar04","I"
"30120","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar04","I"
"30120","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"30124","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"30124","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30124","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"30124","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"30124","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"30124","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"30124","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"30124","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"30124","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,1.00,"090",,"Mar04","I"
"30124","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,1.00,"090",,"Mar04","I"
"30124","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"30124","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,1.00,"090",,"Mar04","I"
"30124","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,"Mar04","I"
"30125","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"30125","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30125","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30125","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30125","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30125","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30125","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30125","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30125","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30125","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30125","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30125","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30125","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30125","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30130","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30130","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"30130","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30130","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"30130","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"30130","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"30130","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"30130","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"30130","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"30130","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"30130","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"30130","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"30130","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"30130","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.00,"090",,"Mar04","I"
"30130","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"30130","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"30130","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"30140","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30140","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"30140","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30140","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30140","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30140","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30140","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30140","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30140","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30140","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30140","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30140","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30140","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30140","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,5.00,"090",,"Mar04","I"
"30140","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30140","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30140","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30150","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"30150","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30150","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30150","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30150","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30150","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30150","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30150","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30150","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30150","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30150","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30150","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30150","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"30150","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30150","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30150","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30160","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"30160","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30160","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30160","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30160","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30160","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30160","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30160","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30160","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30160","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30160","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30160","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30160","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"30160","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30160","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30160","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30200","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"30200","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"30200","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"30200","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"30200","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"30200","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"30200","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"30200","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"30200","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"30210","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30210","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30210","PEAC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"30210","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30210","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30210","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30210","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"30210","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30210","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30210","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"30210","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30220","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30220","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30220","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30220","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30220","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30220","PEAC","Wound Care, Dressings","SG072","septal button prosthesis, silicone","item",76.66,1.00,,"010",,,
"30220","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"30220","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"30220","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30220","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30220","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,7.00,,"010",,,
"30220","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30300","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30300","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30300","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"010",,,
"30300","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30300","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30300","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30300","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"30300","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30300","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30300","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"30300","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30300","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,4.00,2.00,"010",,,
"30300","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,4.00,2.00,"010",,,
"30300","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,8.00,4.00,"010",,,
"30300","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,8.00,4.00,"010",,,
"30300","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,2.00,1.00,"010",,,
"30310","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,2.00,"010",,,
"30310","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"30310","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"30310","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"30310","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"30310","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"30310","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"30310","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"30310","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"30310","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"30310","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"30310","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"30310","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"30310","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"30310","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"30310","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"30310","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"30320","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30320","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"30320","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30320","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"30320","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"30320","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"30320","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"30320","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"30320","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"30320","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"30320","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"30320","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"30320","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"30320","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30320","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"30320","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"30320","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"30400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"30400","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30400","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,"Mar04","I"
"30400","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"30400","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"30400","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"30400","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"30400","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"30400","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"30400","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,6.00,"090",,"Mar04","I"
"30400","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"30400","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,12.00,"090",,"Mar04","I"
"30400","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30400","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Mar04","I"
"30400","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,"Mar04","I"
"30400","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"Mar04","I"
"30410","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"30410","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30410","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,"Mar04","I"
"30410","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"30410","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"30410","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"30410","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"30410","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"30410","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"30410","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,6.00,"090",,"Mar04","I"
"30410","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"30410","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,12.00,"090",,"Mar04","I"
"30410","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30410","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Mar04","I"
"30410","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,"Mar04","I"
"30410","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"Mar04","I"
"30420","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"30420","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30420","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,"Mar04","I"
"30420","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"30420","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"30420","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"30420","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"30420","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"30420","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"30420","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,6.00,"090",,"Mar04","I"
"30420","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"30420","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,12.00,"090",,"Mar04","I"
"30420","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30420","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Mar04","I"
"30420","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,"Mar04","I"
"30420","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"Mar04","I"
"30430","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"30430","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30430","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,"Mar04","I"
"30430","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"30430","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"30430","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"30430","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"30430","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"30430","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"30430","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,6.00,"090",,"Mar04","I"
"30430","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"30430","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,12.00,"090",,"Mar04","I"
"30430","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30430","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Mar04","I"
"30430","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,"Mar04","I"
"30430","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"Mar04","I"
"30435","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"30435","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30435","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,"Mar04","I"
"30435","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"30435","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"30435","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"30435","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"30435","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"30435","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"30435","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,6.00,"090",,"Mar04","I"
"30435","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"30435","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,12.00,"090",,"Mar04","I"
"30435","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30435","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Mar04","I"
"30435","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,"Mar04","I"
"30435","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"Mar04","I"
"30450","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"30450","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30450","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,"Mar04","I"
"30450","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"30450","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"30450","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"30450","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"30450","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"30450","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"30450","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,6.00,"090",,"Mar04","I"
"30450","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"30450","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,12.00,"090",,"Mar04","I"
"30450","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"Mar04","I"
"30450","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,"Mar04","I"
"30450","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,"Mar04","I"
"30450","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,"Mar04","I"
"30460","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"30460","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30460","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"30460","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"30460","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"30460","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"30460","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"30460","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"30460","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"30460","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"30460","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"30460","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"30460","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.00,"090",,"Mar04","I"
"30460","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"30460","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"30460","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"30462","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"30462","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30462","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"30462","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"30462","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"30462","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"30462","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"30462","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"30462","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"30462","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"30462","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"30462","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"30462","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"30462","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"30462","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"30462","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"30465","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"30465","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30465","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"30465","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"30465","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"30465","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"30465","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"30465","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"30465","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"30465","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"30465","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"30465","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"30465","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"30465","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"30465","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"30465","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"30520","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"30520","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30520","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30520","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30520","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30520","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30520","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30520","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30520","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30520","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30520","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30520","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30520","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"30520","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30520","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30520","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30540","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30540","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"30540","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30540","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"30540","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30540","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30540","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30540","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30540","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30540","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30540","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30540","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"30540","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30540","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30540","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30545","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"30545","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"30545","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"30545","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"30545","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"30545","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"30545","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"30545","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"30545","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"30545","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"30545","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"30545","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"30545","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"30545","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"30545","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"30560","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"30560","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"30560","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"010",,,
"30560","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"30560","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"30560","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"30560","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"30560","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"30560","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"30560","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,2.00,,"010",,,
"30560","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"30560","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"30560","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"30560","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"30560","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"30560","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"30560","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,4.00,2.00,"010",,,
"30560","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,4.00,2.00,"010",,,
"30560","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,8.00,4.00,"010",,,
"30560","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,8.00,4.00,"010",,,
"30560","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,2.00,1.00,"010",,,
"30580","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"30580","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"30580","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"30600","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"30600","PEAC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"30620","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"30620","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30620","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"30620","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"30620","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"30620","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"30620","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"30620","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"30620","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"30620","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"30620","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"30620","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"30620","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"30620","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"30620","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"30620","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"30630","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"30630","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30630","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30630","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30630","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30630","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30630","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30630","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30630","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30630","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30630","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30630","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30630","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"30630","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30630","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30630","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30801","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"010",,"Mar04","I"
"30801","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","I"
"30801","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"010",,"Mar04","I"
"30801","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,4.00,0.00,"010",,"Mar04","I"
"30801","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,1.00,"010",,"Mar04","I"
"30801","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,10.00,5.00,"010",,"Mar04","I"
"30801","PEAC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,10.00,5.00,"010",,"Mar04","I"
"30801","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"010",,"Mar04","I"
"30801","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","I"
"30802","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"010",,"Mar04","I"
"30802","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","I"
"30802","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"010",,"Mar04","I"
"30802","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,4.00,0.00,"010",,"Mar04","I"
"30802","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,1.00,"010",,"Mar04","I"
"30802","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,10.00,5.00,"010",,"Mar04","I"
"30802","PEAC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,10.00,5.00,"010",,"Mar04","I"
"30802","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"010",,"Mar04","I"
"30802","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","I"
"30901","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"30901","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"30901","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"30901","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"30901","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"30901","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,0.50,,"000",,,
"30901","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,,"000",,,
"30901","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"30901","PEAC","Pharmacy, Rx","SH003","adrenalin topical","ml",0.97,1.00,,"000",,,
"30901","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"000",,,
"30901","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,,"000",,,
"30901","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"30901","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,5.00,,"000",,,
"30903","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"30903","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"30903","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"30903","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"30903","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"30903","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"30903","PEAC","Accessory, Procedure","SD071","epistaxis balloon","item",43.06,1.00,,"000",,,
"30903","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"30903","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"30903","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,3.00,,"000",,,
"30903","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,,
"30903","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"30903","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,,"000",,,
"30903","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"30903","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,5.00,,"000",,,
"30903","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"000",,,
"30905","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"30905","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"30905","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"30905","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"30905","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"30905","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"30905","PEAC","Accessory, Procedure","SD071","epistaxis balloon","item",43.06,1.00,,"000",,,
"30905","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"30905","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,3.00,,"000",,,
"30905","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"000",,,
"30905","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,,
"30905","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"30905","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,,"000",,,
"30905","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"30905","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,5.00,,"000",,,
"30905","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"000",,,
"30906","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"30906","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"30906","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"30906","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"30906","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"30906","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"30906","PEAC","Accessory, Procedure","SD071","epistaxis balloon","item",43.06,1.00,,"000",,,
"30906","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"30906","PEAC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,3.00,,"000",,,
"30906","PEAC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"000",,,
"30906","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,,
"30906","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"30906","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,,"000",,,
"30906","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"30906","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,5.00,,"000",,,
"30906","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"000",,,
"30915","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"30915","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30915","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"30915","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"30915","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"30915","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"30915","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"30915","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"30915","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"30915","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"30915","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"30915","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"30915","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"30915","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"30915","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"30915","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"30920","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"30920","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"30920","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"30920","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"30920","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"30920","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"30920","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"30920","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"30920","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"30920","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"30920","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"30920","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"30920","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"30920","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"30920","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"30920","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"30930","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"30930","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"30930","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"30930","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"30930","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"30930","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"30930","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"30930","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"30999","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"31000","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"31000","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"31000","PEAC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"31000","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"31000","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"31000","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"010",,,
"31000","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"010",,,
"31000","PEAC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"31000","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"31000","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,1.00,"010",,,
"31000","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"31000","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"010",,,
"31002","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"31002","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31002","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31002","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31002","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31002","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31002","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31002","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31002","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31002","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"31002","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31002","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"31002","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"31002","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"31002","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"31002","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"31002","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"31020","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar04","I"
"31020","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","I"
"31020","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,6.00,4.00,"090",,"Mar04","I"
"31020","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"31020","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,4.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"090",,"Mar04","I"
"31020","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar04","I"
"31030","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","I"
"31030","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,6.00,4.00,"090",,"Mar04","I"
"31030","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,1.00,"090",,"Mar04","I"
"31030","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"31030","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Wound Care, Dressings","SG044","dressing, Merocel nasal standard 4.5cm","item",6.30,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,4.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,0.00,"090",,"Mar04","I"
"31030","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"31032","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31032","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"31032","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31032","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"31032","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"31032","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"31032","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"31032","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"31032","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"31032","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"31032","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"31032","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"31032","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"31032","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31032","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"31032","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31032","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"31040","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31040","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31040","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31040","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31040","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31040","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31040","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31040","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31040","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31040","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31040","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31040","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"31040","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31040","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31040","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31040","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31050","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31050","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"31050","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31050","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"31050","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"31050","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"31050","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"31050","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"31050","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"31050","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"31050","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"31050","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"31050","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"31050","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,5.00,"090",,"Mar04","I"
"31050","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"31050","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31050","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"31051","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31051","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"31051","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31051","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31051","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31051","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31051","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31051","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31051","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31051","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31051","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31051","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31051","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,6.00,"090",,"Mar04","I"
"31051","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"31051","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31051","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31051","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31070","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31070","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"31070","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31070","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"31070","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"31070","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"31070","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"31070","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"31070","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"31070","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"31070","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,2.00,"090",,"Mar04","I"
"31070","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,2.00,"090",,"Mar04","I"
"31070","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Mar04","I"
"31070","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"31070","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"31070","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31070","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,"Mar04","I"
"31075","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31075","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31075","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31075","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31075","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31075","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31075","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31075","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31075","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31075","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31075","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31075","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31075","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"31075","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31075","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31075","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31075","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31080","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31080","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31080","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31080","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31080","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31080","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31080","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31080","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31080","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31080","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31080","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"31080","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31080","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"31080","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31080","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31080","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31080","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"31081","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31081","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31081","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31081","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31081","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31081","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31081","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31081","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31081","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31081","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31081","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"31081","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31081","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"31081","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31081","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31081","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31081","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"31084","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31084","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31084","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31084","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31084","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31084","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31084","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31084","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31084","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31084","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31084","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"31084","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31084","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"31084","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31084","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31084","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31084","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"31085","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31085","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31085","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31085","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31085","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31085","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31085","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31085","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31085","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31085","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31085","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"31085","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31085","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"31085","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31085","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31085","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31085","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"31086","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31086","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31086","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31086","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31086","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31086","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31086","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31086","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31086","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31086","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31086","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,4.00,"090",,"Mar04","I"
"31086","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31086","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,8.00,"090",,"Mar04","I"
"31086","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31086","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31086","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31086","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090",,"Mar04","I"
"31087","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31087","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31087","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31087","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31087","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31087","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31087","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31087","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31087","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31087","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31087","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31087","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31087","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"31087","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31087","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31087","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31087","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31090","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31090","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"31090","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31090","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,10.00,"090",,"Mar04","I"
"31090","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"31090","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"31090","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"31090","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"31090","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"31090","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"31090","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,5.00,"090",,"Mar04","I"
"31090","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,5.00,"090",,"Mar04","I"
"31090","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,10.00,"090",,"Mar04","I"
"31090","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"31090","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Mar04","I"
"31090","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,5.00,"090",,"Mar04","I"
"31090","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,5.00,"090",,"Mar04","I"
"31200","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31200","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31200","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31200","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31200","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31200","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31200","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31200","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31200","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31200","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31200","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31200","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31200","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"31200","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31200","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31200","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31200","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31201","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31201","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31201","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31201","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31201","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31201","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31201","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31201","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31201","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31201","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31201","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31201","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31201","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"31201","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31201","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31201","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31201","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31205","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31205","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31205","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"31205","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,6.00,"090",,"Mar04","I"
"31205","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"31205","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31205","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31205","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"31205","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"31205","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31205","PEAC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,,3.00,"090",,"Mar04","I"
"31205","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,3.00,"090",,"Mar04","I"
"31205","PEAC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,7.00,"090",,"Mar04","I"
"31205","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,"Mar04","I"
"31205","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31205","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"31205","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,3.00,"090",,"Mar04","I"
"31225","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31225","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"31225","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"31225","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31225","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31225","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"31225","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"31225","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"31225","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"31225","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"31225","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"31225","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31225","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31225","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31225","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31230","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31230","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Mar04","I"
"31230","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"31230","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31230","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,8.00,"090",,"Mar04","I"
"31230","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.50,"090",,"Mar04","I"
"31230","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.50,"090",,"Mar04","I"
"31230","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.50,"090",,"Mar04","I"
"31230","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.50,"090",,"Mar04","I"
"31230","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.50,"090",,"Mar04","I"
"31230","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.50,"090",,"Mar04","I"
"31230","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31230","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31230","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31230","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31231","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Gown, Drape","SB045","drape, sterile, incise, ophthalmic","item",4.90,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,12.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,5.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,10.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Lab","SL464","Atomizer tips (disposable)","item",,1.00,,"000",,"CPT13","Mar 3"
"31231","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,"CPT13","Mar 3"
"31233","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31233","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31233","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31233","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31233","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31233","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"000",,,
"31233","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"31233","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"31233","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31233","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31233","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"31233","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31233","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31233","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31233","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31233","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31233","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31233","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31233","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31235","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31235","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31235","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31235","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31235","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31235","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"000",,,
"31235","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"31235","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"31235","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31235","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31235","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"31235","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31235","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31235","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31235","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31235","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31235","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31235","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31235","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31237","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31237","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31237","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31237","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31237","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31237","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"000",,,
"31237","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"31237","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"31237","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31237","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,0.00,"000",,,
"31237","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"31237","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31237","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31237","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,0.00,"000",,,
"31237","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31237","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31237","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31237","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31237","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31238","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31238","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31238","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31238","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31238","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31238","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,2.00,0.00,"000",,,
"31238","PEAC","Wound Care, Dressings","SG066","packing, gauze w-petrolatum, 0.5in (6yd uou)","item",2.02,1.00,,"000",,,
"31238","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"31238","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31238","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,2.00,0.00,"000",,,
"31238","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"000",,,
"31238","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31238","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31238","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,0.00,"000",,,
"31238","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31238","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31238","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31238","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31238","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31239","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,2.00,"010",,,
"31239","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31239","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31239","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31239","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31239","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31239","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31239","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31239","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31239","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"010",,,
"31239","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31239","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"31239","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,2.00,"010",,,
"31239","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,2.00,"010",,,
"31239","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,4.00,"010",,,
"31239","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,4.00,"010",,,
"31239","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,2.00,"010",,,
"31240","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31254","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31255","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31256","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31267","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31276","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31287","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31288","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31290","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"31290","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31290","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31290","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31290","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31290","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31290","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31290","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31290","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31290","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"31290","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31290","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"31290","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"31290","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"31290","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"31290","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"31290","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"31291","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"31291","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31291","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31291","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31291","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31291","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31291","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31291","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31291","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31291","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"31291","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31291","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"31291","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"31291","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"31291","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"31291","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"31291","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"31292","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"31292","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31292","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31292","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31292","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31292","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31292","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31292","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31292","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31292","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"31292","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31292","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"31292","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"31292","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"31292","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"31292","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"31293","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"31293","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31293","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31293","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31293","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31293","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31293","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31293","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31293","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31293","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"31293","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31293","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"31293","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"31293","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"31293","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"31293","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"31293","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"31294","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"31294","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"31294","PEAC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"31294","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"31294","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"31294","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"31294","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"31294","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"010",,,
"31294","PEAC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,,4.00,"010",,,
"31294","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"31294","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"31294","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"31294","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,,1.00,"010",,,
"31294","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"010",,,
"31294","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,,2.00,"010",,,
"31294","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,2.00,"010",,,
"31294","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,,1.00,"010",,,
"31295","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT11","2"
"31295","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","2"
"31295","CMS","Kit, Pack, Tray","SA106","kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)","kit",2599.86,0.50,,"000",,"CPT12","CMS"
"31295","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT11","2"
"31295","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","2"
"31295","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT11","2"
"31295","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT11","2"
"31295","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,,"000",,"CPT11","2"
"31295","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","2"
"31295","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT11","2"
"31295","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT11","2"
"31295","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT11","2"
"31295","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT11","2"
"31295","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,"CPT11","2"
"31295","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,"CPT11","2"
"31295","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,,"000",,"CPT11","2"
"31295","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,5.00,,"000",,"CPT11","2"
"31295","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT11","2"
"31295","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"000",,"CPT11","2"
"31295","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,3.00,,"000",,"CPT11","2"
"31295","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"000",,"CPT11","2"
"31295","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT11","2"
"31295","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,3.00,,"000",,"CPT11","2"
"31295","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,"CPT11","2"
"31295","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,,"000",,"CPT11","2"
"31295","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,,"000",,"CPT11","2"
"31295","RUC","Lab","SL146","tubed culture media","item",0.84,1.00,,"000",,"CPT11","2"
"31295","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,,"000",,"CPT11","2"
"31295","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,"CPT11","2"
"31296","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT11","2"
"31296","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","2"
"31296","CMS","Kit, Pack, Tray","SA106","kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)","kit",2599.86,0.50,,"000",,"CPT12","CMS"
"31296","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT11","2"
"31296","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","2"
"31296","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT11","2"
"31296","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT11","2"
"31296","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,,"000",,"CPT11","2"
"31296","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","2"
"31296","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT11","2"
"31296","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT11","2"
"31296","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT11","2"
"31296","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT11","2"
"31296","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,"CPT11","2"
"31296","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,"CPT11","2"
"31296","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,,"000",,"CPT11","2"
"31296","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,5.00,,"000",,"CPT11","2"
"31296","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT11","2"
"31296","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"000",,"CPT11","2"
"31296","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,3.00,,"000",,"CPT11","2"
"31296","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"000",,"CPT11","2"
"31296","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT11","2"
"31296","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,3.00,,"000",,"CPT11","2"
"31296","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,"CPT11","2"
"31296","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,,"000",,"CPT11","2"
"31296","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,,"000",,"CPT11","2"
"31296","RUC","Lab","SL146","tubed culture media","item",0.84,1.00,,"000",,"CPT11","2"
"31296","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,,"000",,"CPT11","2"
"31296","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,"CPT11","2"
"31297","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT11","2"
"31297","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","2"
"31297","CMS","Kit, Pack, Tray","SA106","kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)","kit",2599.86,0.50,,"000",,"CPT12","CMS"
"31297","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT11","2"
"31297","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","2"
"31297","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT11","2"
"31297","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT11","2"
"31297","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,,"000",,"CPT11","2"
"31297","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","2"
"31297","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT11","2"
"31297","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT11","2"
"31297","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT11","2"
"31297","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT11","2"
"31297","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,"CPT11","2"
"31297","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,"CPT11","2"
"31297","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,,"000",,"CPT11","2"
"31297","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,5.00,,"000",,"CPT11","2"
"31297","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT11","2"
"31297","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"000",,"CPT11","2"
"31297","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,3.00,,"000",,"CPT11","2"
"31297","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"000",,"CPT11","2"
"31297","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT11","2"
"31297","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,3.00,,"000",,"CPT11","2"
"31297","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,"CPT11","2"
"31297","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,,"000",,"CPT11","2"
"31297","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,,"000",,"CPT11","2"
"31297","RUC","Lab","SL146","tubed culture media","item",0.84,1.00,,"000",,"CPT11","2"
"31297","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,,"000",,"CPT11","2"
"31297","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,"CPT11","2"
"31299","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"31300","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31300","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31300","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31300","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31300","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31300","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31300","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31300","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31300","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31300","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"31300","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31300","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31300","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31300","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31300","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31320","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31320","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31320","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31320","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.50,"090",,"Mar04","I"
"31320","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.50,"090",,"Mar04","I"
"31320","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.50,"090",,"Mar04","I"
"31320","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.50,"090",,"Mar04","I"
"31320","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar04","I"
"31320","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.50,"090",,"Mar04","I"
"31320","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,3.50,"090",,"Mar04","I"
"31320","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.50,"090",,"Mar04","I"
"31320","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31320","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31320","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31320","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31360","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31360","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31360","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31360","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31360","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31360","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31360","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31360","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31360","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31360","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"31360","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31360","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31360","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31360","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Mar04","I"
"31360","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31365","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31365","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31365","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31365","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31365","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31365","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31365","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31365","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31365","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31365","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"31365","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31365","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31365","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31365","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Mar04","I"
"31365","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31367","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31367","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31367","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31367","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.50,"090",,"Mar04","I"
"31367","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.50,"090",,"Mar04","I"
"31367","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.50,"090",,"Mar04","I"
"31367","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.50,"090",,"Mar04","I"
"31367","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Mar04","I"
"31367","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.50,"090",,"Mar04","I"
"31367","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.50,"090",,"Mar04","I"
"31367","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.50,"090",,"Mar04","I"
"31367","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31367","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31367","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31367","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31368","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31368","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31368","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31368","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.50,"090",,"Mar04","I"
"31368","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.50,"090",,"Mar04","I"
"31368","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.50,"090",,"Mar04","I"
"31368","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.50,"090",,"Mar04","I"
"31368","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.50,"090",,"Mar04","I"
"31368","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.50,"090",,"Mar04","I"
"31368","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.50,"090",,"Mar04","I"
"31368","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.50,"090",,"Mar04","I"
"31368","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31368","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31368","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31368","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31370","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"31370","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31370","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31370","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31370","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.50,"090",,"Mar04","I"
"31370","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.50,"090",,"Mar04","I"
"31370","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.50,"090",,"Mar04","I"
"31370","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.50,"090",,"Mar04","I"
"31370","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Mar04","I"
"31370","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.50,"090",,"Mar04","I"
"31370","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.50,"090",,"Mar04","I"
"31370","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.50,"090",,"Mar04","I"
"31370","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31370","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31370","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31370","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31370","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31375","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"31375","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31375","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31375","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31375","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31375","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31375","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31375","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31375","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31375","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31375","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"31375","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31375","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31375","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31375","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31375","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31375","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31380","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"31380","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31380","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31380","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31380","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31380","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31380","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31380","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31380","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31380","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31380","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"31380","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31380","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31380","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31380","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31380","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31380","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31382","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"31382","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31382","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31382","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31382","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.50,"090",,"Mar04","I"
"31382","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.50,"090",,"Mar04","I"
"31382","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.50,"090",,"Mar04","I"
"31382","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.50,"090",,"Mar04","I"
"31382","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Mar04","I"
"31382","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.50,"090",,"Mar04","I"
"31382","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.50,"090",,"Mar04","I"
"31382","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.50,"090",,"Mar04","I"
"31382","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31382","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31382","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31382","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31382","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31390","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31390","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31390","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31390","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.00,"090",,"Mar04","I"
"31390","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Mar04","I"
"31390","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Mar04","I"
"31390","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.00,"090",,"Mar04","I"
"31390","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,"Mar04","I"
"31390","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,6.00,"090",,"Mar04","I"
"31390","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,6.00,"090",,"Mar04","I"
"31390","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"31390","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31390","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31390","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Mar04","I"
"31390","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31395","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31395","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"31395","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31395","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,7.00,"090",,"Mar04","I"
"31395","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Mar04","I"
"31395","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Mar04","I"
"31395","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,8.00,"090",,"Mar04","I"
"31395","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,8.00,"090",,"Mar04","I"
"31395","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,8.00,"090",,"Mar04","I"
"31395","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,8.00,"090",,"Mar04","I"
"31395","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"31395","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31395","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31395","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Mar04","I"
"31395","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31400","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31400","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31400","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"31400","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,3.00,"090",,"Mar04","I"
"31400","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31400","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31400","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Mar04","I"
"31400","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31400","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31400","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31400","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"31400","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"31400","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Mar04","I"
"31400","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31400","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,20.00,"090",,"Mar04","I"
"31400","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31400","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31400","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,4.00,"090",,"Mar04","I"
"31400","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"31420","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31420","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"31420","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31420","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,3.00,"090",,"Mar04","I"
"31420","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,2.00,"090",,"Mar04","I"
"31420","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31420","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31420","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Mar04","I"
"31420","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31420","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31420","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"31420","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"31420","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"31420","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Mar04","I"
"31420","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31420","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,20.00,"090",,"Mar04","I"
"31420","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31420","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31420","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,4.00,"090",,"Mar04","I"
"31420","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"31500","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08","rv"
"31502","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","I"
"31505","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31505","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"31505","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"31505","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"31505","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,2.00,,"000",,,
"31505","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31505","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31505","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31505","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31505","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31505","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31505","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31510","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31510","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31510","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31510","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31510","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31510","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31510","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31510","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31510","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31510","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31510","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31510","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31510","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31510","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31510","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31511","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31511","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31511","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31511","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31511","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31511","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31511","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31511","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31511","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31511","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31511","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31511","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31511","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31511","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31512","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31512","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31512","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31512","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31512","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31512","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31512","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31512","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31512","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31512","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31512","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31512","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31512","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31512","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31513","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31515","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31515","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31515","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31515","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31515","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31515","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31515","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"000",,,
"31515","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,,"000",,,
"31515","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31515","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31515","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31515","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31515","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31515","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31515","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31515","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31515","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31520","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31525","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31525","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31525","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31525","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31525","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31525","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31525","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"000",,,
"31525","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,,"000",,,
"31525","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31525","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31525","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31525","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31525","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31525","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31525","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31525","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31526","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31527","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31528","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31529","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31530","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31531","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31535","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31536","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31540","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31541","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31545","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31546","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31560","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31561","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31570","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31570","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31570","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31570","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31570","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31570","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31570","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"000",,,
"31570","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,,"000",,,
"31570","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31570","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31570","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31570","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31570","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31570","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31570","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31570","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31571","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31575","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31575","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"31575","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"31575","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"31575","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,,
"31575","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31575","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31575","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31575","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31575","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31575","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31575","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31575","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31575","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31576","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31576","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31576","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31576","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31576","PEAC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"000",,,
"31576","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31576","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,,
"31576","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31576","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31576","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31576","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31576","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31576","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31576","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31576","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31576","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31576","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31576","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31577","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31577","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31577","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31577","PEAC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"000",,,
"31577","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31577","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,,
"31577","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31577","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31577","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31577","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31577","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31577","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31577","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31577","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31577","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31577","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31577","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31578","PEAC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"31578","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31578","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31578","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31578","PEAC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"000",,,
"31578","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31578","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,,
"31578","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31578","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31578","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31578","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31578","PEAC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"31578","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31578","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31578","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31578","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31578","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31578","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31579","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31579","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31579","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"31579","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"31579","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"31579","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,,
"31579","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"31579","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31579","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31579","PEAC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"31579","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31579","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31579","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31579","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31579","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31580","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31580","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31580","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31580","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"31580","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,3.00,"090",,"Mar04","I"
"31580","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31580","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31580","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Mar04","I"
"31580","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31580","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31580","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31580","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31580","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31580","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"31580","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Mar04","I"
"31580","PEAC","Wound Care, Dressings","SG090","tracheostomy collar-neckband","item",3.23,,1.00,"090",,"Mar04","I"
"31580","PEAC","Wound Care, Dressings","SG091","tracheostomy dressing","item",3.24,,1.00,"090",,"Mar04","I"
"31580","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31580","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,20.00,"090",,"Mar04","I"
"31580","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"31580","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31580","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,4.00,"090",,"Mar04","I"
"31580","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"31582","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,7.00,"090",,"Mar04","I"
"31582","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","I"
"31582","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31582","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,7.00,"090",,"Mar04","I"
"31582","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,6.00,"090",,"Mar04","I"
"31582","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Mar04","I"
"31582","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Mar04","I"
"31582","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,7.00,"090",,"Mar04","I"
"31582","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31582","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31582","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,7.00,"090",,"Mar04","I"
"31582","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Mar04","I"
"31582","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31582","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,21.00,"090",,"Mar04","I"
"31582","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Mar04","I"
"31582","PEAC","Wound Care, Dressings","SG090","tracheostomy collar-neckband","item",3.23,,1.00,"090",,"Mar04","I"
"31582","PEAC","Wound Care, Dressings","SG091","tracheostomy dressing","item",3.24,,1.00,"090",,"Mar04","I"
"31582","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31582","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,35.00,"090",,"Mar04","I"
"31582","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"31582","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,7.00,"090",,"Mar04","I"
"31582","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,7.00,"090",,"Mar04","I"
"31582","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"31584","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31584","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31584","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31584","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"31584","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,3.00,"090",,"Mar04","I"
"31584","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31584","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31584","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Mar04","I"
"31584","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31584","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31584","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31584","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31584","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31584","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"31584","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Mar04","I"
"31584","PEAC","Wound Care, Dressings","SG090","tracheostomy collar-neckband","item",3.23,,1.00,"090",,"Mar04","I"
"31584","PEAC","Wound Care, Dressings","SG091","tracheostomy dressing","item",3.24,,1.00,"090",,"Mar04","I"
"31584","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31584","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,20.00,"090",,"Mar04","I"
"31584","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31584","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Mar04","I"
"31584","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,4.00,"090",,"Mar04","I"
"31584","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"31587","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"31587","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31587","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,3.00,"090",,"Mar04","I"
"31587","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,2.00,"090",,"Mar04","I"
"31587","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31587","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31587","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Mar04","I"
"31587","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31587","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31587","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"31587","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"31587","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,9.00,"090",,"Mar04","I"
"31587","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"31587","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31587","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,15.00,"090",,"Mar04","I"
"31587","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31587","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31587","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,3.00,"090",,"Mar04","I"
"31587","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"31588","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31588","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","I"
"31588","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31588","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,3.00,"090",,"Mar04","I"
"31588","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,2.00,"090",,"Mar04","I"
"31588","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31588","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31588","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Mar04","I"
"31588","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31588","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"31588","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"31588","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31588","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"31588","PEAC","Wound Care, Dressings","SG090","tracheostomy collar-neckband","item",3.23,,1.00,"090",,"Mar04","I"
"31588","PEAC","Wound Care, Dressings","SG091","tracheostomy dressing","item",3.24,,1.00,"090",,"Mar04","I"
"31588","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,6.00,"090",,"Mar04","I"
"31588","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,1.00,"090",,"Mar04","I"
"31588","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31590","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,5.00,"090",,"Mar04","I"
"31590","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"31590","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31590","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,5.00,"090",,"Mar04","I"
"31590","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,4.00,"090",,"Mar04","I"
"31590","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"31590","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"31590","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,"Mar04","I"
"31590","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31590","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31590","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"31590","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,10.00,"090",,"Mar04","I"
"31590","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,15.00,"090",,"Mar04","I"
"31590","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Mar04","I"
"31590","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31590","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,25.00,"090",,"Mar04","I"
"31590","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31590","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Mar04","I"
"31590","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,5.00,"090",,"Mar04","I"
"31590","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"31595","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"31595","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"31595","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31595","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,3.00,"090",,"Mar04","I"
"31595","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,2.00,"090",,"Mar04","I"
"31595","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"31595","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"31595","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Mar04","I"
"31595","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31595","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,,2.00,"090",,"Mar04","I"
"31595","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"31595","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"31595","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,9.00,"090",,"Mar04","I"
"31595","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Mar04","I"
"31595","PEAC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,,5.00,"090",,"Mar04","I"
"31595","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,15.00,"090",,"Mar04","I"
"31595","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31595","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Mar04","I"
"31595","PEAC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,,3.00,"090",,"Mar04","I"
"31595","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"31599","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"31600","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31601","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31603","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31605","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31610","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31610","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"31610","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31610","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"31610","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"090",,"Mar04","I"
"31610","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"31610","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"31610","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Mar04","I"
"31610","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31610","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,2.00,"090",,"Mar04","I"
"31610","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"31610","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31610","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31610","PEAC","Wound Care, Dressings","SG090","tracheostomy collar-neckband","item",3.23,,1.00,"090",,"Mar04","I"
"31610","PEAC","Wound Care, Dressings","SG091","tracheostomy dressing","item",3.24,,1.00,"090",,"Mar04","I"
"31610","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,4.00,"090",,"Mar04","I"
"31610","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,1.00,"090",,"Mar04","I"
"31610","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"31610","PEAC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,8.00,"090",,"Mar04","I"
"31611","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Mar04","I"
"31611","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"31611","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"31611","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"090",,"Mar04","I"
"31611","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"31611","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"31611","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Mar04","I"
"31611","PEAC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,"Mar04","I"
"31611","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,2.00,"090",,"Mar04","I"
"31611","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31611","PEAC","Accessory, Procedure","SD195","prosthesis, voice button (Blom-Singer)","item",48.00,,1.00,"090",,"Mar04","I"
"31611","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Mar04","I"
"31611","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,2.00,"090",,"Mar04","I"
"31611","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,1.00,"090",,"Mar04","I"
"31611","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Mar04","I"
"31612","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"31612","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"31612","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"31612","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"31612","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"31612","PEAC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,,
"31612","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"31612","PEAC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,,
"31612","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"31612","PEAC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"31612","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,8.00,,"000",,,
"31612","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,,"000",,,
"31612","PEAC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"000",,,
"31612","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"31612","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"31612","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31613","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.50,"090",,"Mar04","I"
"31613","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"31613","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31613","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.50,"090",,"Mar04","I"
"31613","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.50,"090",,"Mar04","I"
"31613","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.50,"090",,"Mar04","I"
"31613","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.50,"090",,"Mar04","I"
"31613","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Mar04","I"
"31613","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.50,"090",,"Mar04","I"
"31613","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,2.50,"090",,"Mar04","I"
"31613","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31613","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31614","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,4.00,"090",,"Mar04","I"
"31614","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31614","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31614","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31614","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31614","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31614","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31614","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31614","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31614","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,"Mar04","I"
"31614","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31614","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31615","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"31615","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"31615","PEAC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"31615","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"31615","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"31615","PEAC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"31615","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"31615","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,4.00,,"000",,,
"31615","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"31615","PEAC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"31615","PEAC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,2.00,,"000",,,
"31615","PEAC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,,"000",,,
"31615","PEAC","Infection Control","SM015","enzymatic detergent","oz",0.22,4.00,,"000",,,
"31615","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,4.00,,"000",,,
"31615","PEAC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"31620","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,40.00,0.00,"ZZZ",,,
"31620","RUC","Accessory, Procedure","SD205","sheath, endoscope ultrasound balloon","item",154.00,1.00,0.00,"ZZZ",,,
"31622","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,2.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31622","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Accessory, Procedure","SD141","brush, protected airway specimen","item",13.00,2.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31623","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,3.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31624","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31625","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31626","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"CPT10","2"
"31626","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Hypodermic, IV","SC092","catheter, needle (for CPT 31626)","item",18.00,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,2.00,0.00,"000",,"CPT10","2"
"31626","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, Rx","SH041","Indigo Carmine soln 0.8% inj (5cc vial uou)","item",11.88,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"CPT10","2"
"31626","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"CPT10","2"
"31626","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"CPT10","2"
"31627","RUC","Kit, Pack, Tray","SA097","kit, locatable guide, ext. working channel, w-b-scope adapter","kit",995.00,1.00,0.00,"ZZZ",,"CPT10","3"
"31627","RUC","Accessory, Procedure","SD235","sensor, patch, bronchosopy (for kit, locatable guide) (patient)","item",1.10,3.00,0.00,"ZZZ",,"CPT10","3"
"31628","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"XXX",,"CPT10","3"
"31628","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"XXX",,"CPT10","3"
"31629","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Hypodermic, IV","SC043","needle, transbronchial, cytology (Wang)","item",58.05,3.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31629","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31630","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar03","12"
"31631","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar03","12"
"31632","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"31633","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"31634","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT11","3"
"31634","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","3"
"31634","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","3"
"31634","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,"CPT11","3"
"31634","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT11","3"
"31634","RUC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,,"000",,"CPT11","3"
"31634","RUC","Accessory, Procedure","SD261","B5-2C Double Lumen Balloon 10 mm dia","item",126.75,1.00,,"000",,"CPT11","3"
"31634","RUC","Accessory, Procedure","SD262","Insuffalator - Boston Scientific","item",85.00,1.00,,"000",,"CPT11","3"
"31634","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT11","3"
"31634","RUC","Wound Care, Dressings","SG094","Tisseel Fibrin Glue, 1 ml","ml",262.01,4.00,,"000",,"CPT11","3"
"31634","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,,"000",,"CPT11","3"
"31634","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,"CPT11","3"
"31634","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,,"000",,"CPT11","3"
"31634","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,,"000",,"CPT11","3"
"31634","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT11","3"
"31634","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,,"000",,"CPT11","3"
"31634","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,,"000",,"CPT11","3"
"31635","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31635","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31636","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31637","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"31638","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"31640","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar03","12"
"31641","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar03","12"
"31643","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar03","12"
"31645","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31645","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"000",,"Mar03","12"
"31646","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","cs"
"31717","PEAC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,3.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Accessory, Procedure","SD141","brush, protected airway specimen","item",13.00,2.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,40.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Mar03","12"
"31717","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,0.00,"000",,"Mar03","12"
"31720","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","G"
"31725","PEAC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","G"
"31730","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Kit, Pack, Tray","SA091","tray, scoop, fast track system","tray",750.00,1.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,5.00,0.00,"000",,"Feb05","U"
"31730","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Feb05","U"
"31750","PEAC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"31750","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"31750","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"31750","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31750","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"31750","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"31750","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"31750","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"31750","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"31750","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"31750","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"31750","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"31750","PEAC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"31750","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"31750","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"31750","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31750","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"31755","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,5.00,"090",,"Mar04","I"
"31755","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","I"
"31755","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31755","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,"Mar04","I"
"31755","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Mar04","I"
"31755","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Mar04","I"
"31755","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,7.00,"090",,"Mar04","I"
"31755","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,7.00,"090",,"Mar04","I"
"31755","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,7.00,"090",,"Mar04","I"
"31755","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,7.00,"090",,"Mar04","I"
"31755","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Mar04","I"
"31755","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,20.00,"090",,"Mar04","I"
"31755","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,10.00,"090",,"Mar04","I"
"31755","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"31755","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,5.00,"090",,"Mar04","I"
"31760","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"31760","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31766","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"31766","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31770","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"31770","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31775","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"31775","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31780","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"31780","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31781","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"31781","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31785","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"31785","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31786","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"31786","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31800","PEAC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"31800","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"31800","PEAC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"31800","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.50,"090",,"Mar04","I"
"31800","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.50,"090",,"Mar04","I"
"31800","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.50,"090",,"Mar04","I"
"31800","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.50,"090",,"Mar04","I"
"31800","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Mar04","I"
"31800","PEAC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,2.50,"090",,"Mar04","I"
"31800","PEAC","Accessory, Procedure","SD070","endosheath","item",9.50,,2.50,"090",,"Mar04","I"
"31800","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.50,"090",,"Mar04","I"
"31800","PEAC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"31800","PEAC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"31800","PEAC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Mar04","I"
"31800","PEAC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"31805","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"31805","PERC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"31820","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Jan04","21"
"31820","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"31820","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"090",,"Jan04","21"
"31820","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,1.00,"090",,"Jan04","21"
"31820","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,12.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,20.00,"090",,"Jan04","21"
"31820","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"31820","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Jan04","21"
"31825","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"31825","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"090",,"Jan04","21"
"31825","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,1.00,"090",,"Jan04","21"
"31825","PEAC","Wound Care, Dressings","SG088","tape, foam, elastic, 2in (Microfoam)","inch",2.6e-03,12.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,20.00,"090",,"Jan04","21"
"31825","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"31825","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Jan04","21"
"31830","PEAC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"31830","PEAC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"090",,"Jan04","21"
"31830","PEAC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,1.00,"090",,"Jan04","21"
"31830","PEAC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,2.00,1.00,"090",,"Jan04","21"
"31830","PEAC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,1.00,"090",,"Jan04","21"
"31830","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Pharmacy, Rx","SH084","Kenalog 40 inj","ml",1.83,4.00,2.00,"090",,"Jan04","21"
"31830","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,20.00,"090",,"Jan04","21"
"31830","PEAC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"31830","PEAC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"090",,"Jan04","21"
"31899","CMS","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"32035","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"32035","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32035","PERC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Apr06","J"
"32035","PERC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Apr06","J"
"32035","PERC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,"Apr06","J"
"32035","PERC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Apr06","J"
"32035","PERC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,"Apr06","J"
"32035","PERC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,,1.00,"090",,"Apr06","J"
"32035","PERC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,"Apr06","J"
"32035","PERC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,"Apr06","J"
"32035","PERC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Apr06","J"
"32036","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"32036","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32036","PERC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Apr06","J"
"32036","PERC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Apr06","J"
"32036","PERC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,"Apr06","J"
"32036","PERC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Apr06","J"
"32036","PERC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,"Apr06","J"
"32036","PERC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,,1.00,"090",,"Apr06","J"
"32036","PERC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,"Apr06","J"
"32036","PERC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"090",,"Apr06","J"
"32036","PERC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Apr06","J"
"32096","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","May 8"
"32096","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32097","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","May 8"
"32097","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32098","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","May 8"
"32098","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","May 8"
"32100","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32110","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32110","NPRM","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"32120","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32120","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32124","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32124","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32140","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32140","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32141","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32141","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32150","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32150","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32151","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32151","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32160","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"32160","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32200","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"32200","PERC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"32201","PEAC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Accessory, Procedure","SD162","drainage catheter, chest","item",88.89,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"32201","PEAC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"32215","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32215","NPRM","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32220","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"32220","NPRM","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32225","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32225","NPRM","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32310","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32310","NPRM","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32320","PERC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"32320","NPRM","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32400","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Infection Control","SM011","cleaning brush, instruments","item",1.95,1.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Mar03","12"
"32400","PEAC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,3.00,0.00,"000",,"Mar03","12"
"32405","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Hypodermic, IV","SC033","needle, biopsy, spring-loaded","item",19.00,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Hypodermic, IV","SC035","needle, Chiba","item",8.47,3.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,10.00,,"000",,"CPT12","Feb 6"
"32405","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,,"000",,"CPT12","Feb 6"
"32440","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32440","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32442","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32442","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32445","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"32445","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32480","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32480","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32482","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32482","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32484","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32484","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32486","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32486","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32488","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32488","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32491","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32491","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32501","CMS","NO DETAILS","SX001","ACTIVE",,,,,"ZZZ",,,
"32503","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"RUC05",
"32503","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"32504","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"RUC05",
"32504","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"32505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32505","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32506","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 8"
"32507","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 8"
"32540","PEAC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32540","PEAC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32550","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Kit, Pack, Tray","SA077","kit, pleural catheter insertion","kit",329.00,1.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Accessory, Procedure","SD144","canister, vacuum, pleural (w-drainage line)","item",31.00,2.00,0.00,"000",,"CPT08","rn"
"32550","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,32.00,0.00,"000",,"CPT08","rn"
"32551","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT08","rn"
"32551","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"CPT08","rn"
"32552","Ruc","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT10","4"
"32552","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT10","4"
"32552","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"CPT10","4"
"32552","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"CPT10","4"
"32552","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"CPT10","4"
"32552","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"CPT10","4"
"32552","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"CPT10","4"
"32552","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"CPT10","4"
"32552","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"CPT10","4"
"32552","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"CPT10","4"
"32552","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"CPT10","4"
"32553","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT10","2"
"32553","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"CPT10","2"
"32553","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,"CPT10","2"
"32553","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT10","2"
"32553","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,0.00,"000",,"CPT10","2"
"32553","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"CPT10","2"
"32553","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"000",,"CPT10","2"
"32553","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT10","2"
"32554","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 8"
"32554","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 8"
"32554","RUC","Kit, Pack, Tray","SA070","tray, thoracentesis","tray",37.38,1.00,,"000",,"CPT13","May 8"
"32554","RUC","Kit, Pack, Tray","SA077","kit, pleural catheter insertion","kit",329.00,1.00,,"000",,"CPT13","May 8"
"32554","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 8"
"32554","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 8"
"32554","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 8"
"32554","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT13","May 8"
"32554","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,"CPT13","May 8"
"32554","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 8"
"32554","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,15.00,,"000",,"CPT13","May 8"
"32555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 8"
"32555","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 8"
"32555","RUC","Kit, Pack, Tray","SA070","tray, thoracentesis","tray",37.38,1.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,"CPT13","May 8"
"32555","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 8"
"32555","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,15.00,,"000",,"CPT13","May 8"
"32555","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,3.00,,"000",,"CPT13","May 8"
"32555","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"000",,"CPT13","May 8"
"32555","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"000",,"CPT13","May 8"
"32555","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Kit, Pack, Tray","SA077","kit, pleural catheter insertion","kit",329.00,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT13","May 8"
"32556","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT13","May 8"
"32556","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,"CPT13","May 8"
"32556","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,25.00,,"000",,"CPT13","May 8"
"32556","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT13","May 8"
"32556","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Kit, Pack, Tray","SA077","kit, pleural catheter insertion","kit",329.00,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,"CPT13","May 8"
"32557","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,25.00,,"000",,"CPT13","May 8"
"32557","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,"CPT13","May 8"
"32557","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,,"000",,"CPT13","May 8"
"32557","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,,"000",,"CPT13","May 8"
"32560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT10","5"
"32560","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT10","5"
"32560","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT10","5"
"32560","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"000",,"CPT10","5"
"32560","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT10","5"
"32560","RUC","Pharmacy, Rx","SH070","talc, sterile (Sclerosol) (4gm uou)","item",107.50,1.00,,"000",,"CPT10","5"
"32561","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT10","5"
"32561","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT10","5"
"32561","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT10","5"
"32561","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"000",,"CPT10","5"
"32561","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT10","5"
"32562","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT10","5"
"32562","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT10","5"
"32562","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT10","5"
"32562","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"000",,"CPT10","5"
"32562","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT10","5"
"32601","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 8"
"32604","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"32606","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"32607","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 8"
"32608","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 8"
"32609","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 8"
"32650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32650","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32651","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32651","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32652","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"32652","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32653","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32653","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32654","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32654","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32655","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32655","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32656","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32656","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32658","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32658","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32659","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32659","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32661","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32661","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32662","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32662","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"13101","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"32663","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32663","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32664","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32664","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32665","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32665","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32666","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32666","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32667","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 8"
"32668","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 8"
"32669","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32669","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32670","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32670","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32671","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32671","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32672","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32672","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32673","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 8"
"32673","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","May 8"
"32674","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 8"
"32800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32800","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"32810","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32815","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"32815","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"32820","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32850","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"32851","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"32851","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"32852","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"32852","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","5 Year"
"32853","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"32853","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","5 Year"
"32854","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"32854","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT12","5 Year"
"32855","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"32856","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"32900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32900","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32905","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32905","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32906","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32906","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32940","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"32940","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"32960","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"000",,,
"32960","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"32960","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"32960","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"32960","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"32960","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"32960","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"32960","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"000",,,
"32960","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"32960","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"32960","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,10.00,,"000",,,
"32960","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"32960","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"32997","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"32998","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT07",
"32998","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,"CPT07",
"32998","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT07",
"32998","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT07",
"32998","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"000",,"CPT07",
"32998","RUC","Accessory, Procedure","SD109","probe, radiofrequency, 3 array (StarBurstSDE)","item",1995.00,1.00,0.00,"000",,"CPT07",
"32998","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT07",
"32998","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"000",,"CPT07",
"32998","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT07",
"32998","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"000",,"CPT07",
"32998","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"000",,"CPT07",
"32998","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,"CPT07",
"32998","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT07",
"32998","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT07",
"32998","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT07",
"32998","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,"CPT07",
"32998","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT07",
"32999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"33010","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33011","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33015","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33020","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33025","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33025","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"CPT12","5 Year"
"33030","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33031","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"33031","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,2.00,"090",,"CPT12","5 Year"
"33050","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33050","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"CPT12","5 Year"
"33120","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33130","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33140","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33141","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33202","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33202","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33203","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33206","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33206","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33207","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33207","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33208","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33208","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33210","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33211","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33212","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33212","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33213","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33213","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33214","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33214","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"33216","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33216","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33217","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33217","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33218","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33218","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33220","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33221","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33221","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33222","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33222","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33223","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33223","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33224","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33225","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33226","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33227","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33227","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33228","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33228","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33229","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33229","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33230","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33231","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33231","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33233","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33233","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33234","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33234","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33235","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33235","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33236","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33236","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33237","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33237","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33238","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"33238","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33240","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33241","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33241","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33243","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33243","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33244","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"33244","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33249","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33249","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33250","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33251","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33251","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33254","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"33254","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33255","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"33255","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33256","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"33256","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33257","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"ZZZ",,"CPT08","22"
"33257","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"ZZZ",,"CPT08","22"
"33258","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"ZZZ",,"CPT08","22"
"33258","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"ZZZ",,"CPT08","22"
"33259","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"ZZZ",,"CPT08","22"
"33259","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"ZZZ",,"CPT08","22"
"33261","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33261","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33262","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33262","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33263","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33263","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33264","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","May 9"
"33264","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","May 9"
"33265","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"33265","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33266","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"33266","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33282","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33282","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33284","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33284","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33300","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33305","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33310","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33315","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"CPT12","5 Year"
"33315","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33320","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33321","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33321","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33322","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33322","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33330","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33330","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33332","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33335","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33335","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33400","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33401","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33401","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33403","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33403","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33404","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33404","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"090",,"CPT13","May 43"
"33405","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"090",,"CPT13","May 43"
"33406","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33406","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33410","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33411","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33411","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33412","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","5 Year"
"33412","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33413","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33413","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33414","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33414","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33415","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33416","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33416","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"33417","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33417","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33420","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33422","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33422","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33425","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33426","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33426","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33427","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33427","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33430","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,,"090",,"CPT13","May 43"
"33430","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"090",,"CPT13","May 43"
"33460","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33460","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33463","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33463","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33464","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33464","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33465","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33465","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33468","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"CPT12","5 Year"
"33468","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33470","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33470","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33471","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33471","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33472","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33472","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33474","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33474","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33475","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"33475","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33476","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33476","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33478","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33478","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33496","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33496","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33501","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33502","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33502","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"33503","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33503","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33504","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33504","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33505","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33506","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33506","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33507","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090","88170","RUC05",
"33507","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33508","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33510","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33511","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33511","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33512","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"33512","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33513","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33513","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33514","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33514","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33516","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33516","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,2.00,"090",,,
"33517","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33518","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33519","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33521","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33522","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33523","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33530","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33533","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"090",,"CPT13","May 43"
"33533","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"090",,"CPT13","May 43"
"33534","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33534","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33535","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33536","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33536","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33542","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33542","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33545","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33548","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"33548","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33572","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33600","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33602","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33602","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33606","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33608","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33608","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33610","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33611","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33611","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33612","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33612","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33615","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33617","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33617","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33619","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Apr06","J"
"33619","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,1.00,"090",,"CPT11","4"
"33620","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","4"
"33621","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,1.00,"090",,"CPT11","4"
"33621","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","4"
"33622","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,1.00,"090",,"CPT11","4"
"33622","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","4"
"33641","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33641","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"33645","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"CPT12","5 Year"
"33645","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33647","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","5 Year"
"33647","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33660","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33665","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33665","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33670","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33670","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33675","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33675","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33676","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33676","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33677","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33677","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33681","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33681","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33684","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33684","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33688","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33688","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33690","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33690","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33692","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","5 Year"
"33692","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33694","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33694","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33697","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33697","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33702","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33702","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33710","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT12","5 Year"
"33710","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33720","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33722","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33722","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33724","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33724","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33726","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"33726","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"33730","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33730","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33732","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33732","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33735","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33735","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33736","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33736","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33737","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33737","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33750","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33750","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33755","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33755","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33762","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33762","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33764","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33764","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33766","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33766","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33767","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33767","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33768","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"33770","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33770","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33771","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33771","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33774","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33774","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33775","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33775","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33776","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33776","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33777","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33777","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33778","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33778","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33779","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33779","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33780","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33780","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33781","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33781","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33782","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"090",,"CPT10","6"
"33782","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"090",,"CPT10","6"
"33783","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"090",,"CPT10","6"
"33783","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,1.00,1.00,"090",,"CPT10","6"
"33786","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33786","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33788","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33788","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33800","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33802","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33802","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33803","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33803","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33813","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33813","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33814","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33814","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33820","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33822","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33822","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33824","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33824","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33840","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33845","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33851","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33851","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33852","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33852","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33853","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33853","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33860","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33863","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"33863","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33864","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT08","23"
"33864","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT08","23"
"33870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33870","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33875","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"33875","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT12","5 Year"
"33877","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"33877","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33880","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"33880","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33881","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"33881","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33883","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"33883","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33884","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"33886","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"33886","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33889","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"RUC05",
"33891","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"RUC05",
"33910","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"CPT12","5 Year"
"33910","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33915","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33915","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33916","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"CPT12","5 Year"
"33916","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33917","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33917","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33920","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33920","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33922","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"33922","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"33924","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"33925","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090","88170","RUC05",
"33925","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33926","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090","88170","RUC05",
"33926","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"33930","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"33933","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"33935","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","T"
"33935","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"33940","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"33944","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"33945","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","T"
"33945","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"33960","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Feb05",
"33961","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Feb05",
"33967","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000","93536",,
"33968","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","S"
"33970","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33971","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"33971","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33973","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"33974","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"33974","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"33975","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","S"
"33976","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","S"
"33977","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,0.00,"XXX",,"CPT12","5 Year"
"33977","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,0.00,"XXX",,"CPT12","5 Year"
"33978","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,0.00,"XXX",,"CPT12","5 Year"
"33978","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,0.00,"XXX",,"CPT12","5 Year"
"33979","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"33980","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,0.00,"XXX",,"CPT12","5 Year"
"33980","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,0.00,"XXX",,"CPT12","5 Year"
"33999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"34001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"34001","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34051","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34051","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"34101","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"34111","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34151","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"34151","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34201","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"34201","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34203","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34203","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34401","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34401","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34421","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"34421","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34451","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34451","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34471","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34471","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34490","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"34490","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"34501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34501","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34502","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34502","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34510","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"34520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34520","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"34520","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"34530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"34530","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"34530","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"34530","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"34800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34800","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34802","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34802","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34803","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34803","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"34804","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34804","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34805","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"34806","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT08","24"
"34808","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"34812","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"34813","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"34820","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"34825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34825","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34826","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"34830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"34830","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"34831","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34832","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"34832","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"34833","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"34834","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"34900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"34900","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"35001","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"35002","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"35005","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35011","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35011","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35013","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35013","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35021","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35021","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35022","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35022","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35045","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35045","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35045","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35081","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35081","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35082","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35082","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35091","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35091","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35092","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35092","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35102","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35102","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35103","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35103","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35111","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"35112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35112","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35121","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35121","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35122","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35122","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35131","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35131","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35132","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35132","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35141","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35141","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35142","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35142","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35151","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35151","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35152","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35152","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35180","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35182","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35182","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35184","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35184","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35188","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT12","5 Year"
"35188","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35189","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35189","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35190","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35190","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35201","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35201","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35206","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35206","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35206","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35206","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35207","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35207","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35207","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35207","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35211","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35211","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35216","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35216","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35221","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35221","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35226","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35226","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35226","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35226","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35231","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35231","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35236","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35236","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35236","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35236","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35241","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35241","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35246","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35246","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"35251","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35251","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35256","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35256","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,2.00,"090",,,
"35256","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35256","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35261","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35261","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35266","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35266","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35266","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35266","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35271","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35271","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35276","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35276","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35281","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35286","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35286","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35286","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35286","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35301","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35301","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35302","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35302","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35303","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35303","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35304","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35304","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35305","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35306","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT07",
"35311","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35311","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35321","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35321","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35331","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35331","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35341","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"35341","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35351","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35351","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35355","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35355","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35361","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35361","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35363","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35363","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35371","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35371","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35372","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35372","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35390","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35400","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35450","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"35452","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"35458","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"35460","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"35471","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"Jan04","9"
"35471","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD149","catheter, balloon inflation device","item",24.90,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,2.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,0.00,"000",,"Jan04","9"
"35471","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"Jan04","9"
"35471","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Jan04","9"
"35471","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Jan04","9"
"35472","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"35472","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"35472","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Accessory, Procedure","SD149","catheter, balloon inflation device","item",24.90,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Accessory, Procedure","SD152","catheter, balloon, PTA","item",243.50,2.00,0.00,"000",,"Jan04","9"
"35472","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,0.00,"000",,"Jan04","9"
"35472","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"Jan04","9"
"35472","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Jan04","9"
"35472","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Jan04","9"
"35475","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT13","May 44"
"35475","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,"CPT13","May 44"
"35475","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Accessory, Procedure","SD149","catheter, balloon inflation device","item",24.90,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Accessory, Procedure","SD152","catheter, balloon, PTA","item",243.50,2.00,,"000",,"CPT13","May 44"
"35475","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,,"000",,"CPT13","May 44"
"35475","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"CPT13","May 44"
"35476","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT13","May 44"
"35476","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,"CPT13","May 44"
"35476","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Accessory, Procedure","SD149","catheter, balloon inflation device","item",24.90,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Accessory, Procedure","SD152","catheter, balloon, PTA","item",243.50,2.00,,"000",,"CPT13","May 44"
"35476","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,,"000",,"CPT13","May 44"
"35476","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"CPT13","May 44"
"35500","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35501","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35501","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35506","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35506","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35508","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35508","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35509","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35509","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35509","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35510","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"35511","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35511","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35512","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35512","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"35515","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35515","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35516","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35516","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35518","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35518","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35521","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35521","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35522","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35522","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"35523","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","25"
"35523","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT08","25"
"35523","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT08","25"
"35525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"35525","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"35526","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35526","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35531","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35531","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35533","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35533","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","7"
"35535","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","7"
"35536","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35536","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35537","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"35537","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35538","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"35538","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35539","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"35539","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"35540","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35556","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35558","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35560","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35563","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35563","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35565","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35566","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35566","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","8"
"35570","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","8"
"35571","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35571","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35572","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35583","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35583","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35585","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35585","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"35585","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"35585","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,1.00,"090",,,
"35585","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,4.00,"090",,,
"35587","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35587","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35587","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"35587","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,1.00,"090",,,
"35600","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35601","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35601","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35601","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35606","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35612","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"35612","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35616","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35616","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35621","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35621","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35623","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35623","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35626","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35626","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35631","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35631","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35632","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","9"
"35632","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","9"
"35633","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","9"
"35633","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","9"
"35634","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","9"
"35634","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","9"
"35636","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35636","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35637","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"35637","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35638","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"35638","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35642","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35642","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35645","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35645","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35646","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35646","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35647","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"35647","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35654","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35654","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35656","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35656","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35661","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35661","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35663","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35663","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35665","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35665","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35666","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35666","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35666","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"35666","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"35666","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"35666","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,1.00,"090",,,
"35666","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,6.00,"090",,,
"35666","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"35666","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,100.00,"090",,,
"35666","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,10.00,"090",,,
"35666","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"35671","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35671","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35671","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,9.00,"090",,,
"35671","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090",,,
"35671","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"35671","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,54.00,"090",,,
"35671","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,90.00,"090",,,
"35671","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,9.00,"090",,,
"35681","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35682","RUC","NO DETAILS","SX001","ACTIVE",,,,,"ZZZ",,,
"35683","RUC","NO DETAILS","SX001","ACTIVE",,,,,"ZZZ",,,
"35685","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35686","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35691","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35691","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35693","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35693","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35694","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35694","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35695","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35695","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35697","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35700","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"35701","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35701","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35721","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35721","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35721","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35721","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35741","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35741","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35741","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35741","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35761","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35761","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35761","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"35800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"35840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"35840","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT12","5 Year"
"35860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"35860","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT12","5 Year"
"35870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"35870","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35875","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35875","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35875","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35875","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35876","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35876","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35876","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35876","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35879","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35879","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","35301",,
"35879","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090","35301",,
"35881","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"35881","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","35301",,
"35881","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090","35301",,
"35881","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,360.00,"090","35301",,
"35881","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,,2.00,"090","35301",,
"35883","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35883","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35884","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"35884","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"35901","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"35901","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35901","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35901","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35903","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35903","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"35903","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"35903","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,11.00,"090",,,
"35903","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,1.00,"090",,,
"35903","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"35905","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35905","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"35907","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"35907","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"36000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"36000","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"36000","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"36000","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"36000","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36000","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"XXX",,,
"36000","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"36000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"36002","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,,
"36002","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"36002","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000",,,
"36002","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"000",,,
"36002","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"36002","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,,"000",,,
"36002","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,2.00,,"000",,,
"36002","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,,
"36002","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"36002","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"36005","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000","0",,
"36005","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"36005","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000","0",,
"36005","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"36005","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,,
"36005","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,,
"36005","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"36005","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"36005","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"36005","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"36005","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"36005","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"36005","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"36005","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,,"000",,,
"36010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"XXX",,"Jan04","9"
"36010","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36011","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36012","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36013","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36014","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36015","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"XXX",,"Jan04","9"
"36100","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36120","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36140","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36147","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,40.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"CPT10","29"
"36147","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"CPT10","29"
"36148","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"ZZZ",,"CPT10","29"
"36148","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"ZZZ",,"CPT10","29"
"36148","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"ZZZ",,"CPT10","29"
"36148","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"ZZZ",,"CPT10","29"
"36148","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"ZZZ",,"CPT10","29"
"36148","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"ZZZ",,"CPT10","29"
"36160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36160","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36200","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"CPT12","Feb 8"
"36200","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"CPT12","Feb 8"
"36215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36215","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36216","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"Jan04","9"
"36217","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"Jan04","9"
"36218","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"ZZZ",,"Jan04","9"
"36218","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,0.00,"ZZZ",,"Jan04","9"
"36218","RUC","Accessory, Procedure","SD153","catheter, curved","item",17.77,1.00,0.00,"ZZZ",,"Jan04","9"
"36221","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 12"
"36221","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT13","May 12"
"36221","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 12"
"36221","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 12"
"36221","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT13","May 12"
"36221","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 12"
"36221","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 12"
"36221","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 12"
"36221","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 12"
"36222","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 12"
"36222","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT13","May 12"
"36222","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 12"
"36222","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT13","May 12"
"36222","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 12"
"36222","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"000",,"CPT13","May 12"
"36222","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 12"
"36222","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 12"
"36222","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 12"
"36222","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 12"
"36223","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 12"
"36223","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT13","May 12"
"36223","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 12"
"36223","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT13","May 12"
"36223","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 12"
"36223","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"000",,"CPT13","May 12"
"36223","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 12"
"36223","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 12"
"36223","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 12"
"36223","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 12"
"36224","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 12"
"36224","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT13","May 12"
"36224","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 12"
"36224","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT13","May 12"
"36224","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 12"
"36224","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"000",,"CPT13","May 12"
"36224","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 12"
"36224","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 12"
"36224","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 12"
"36224","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 12"
"36225","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 12"
"36225","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT13","May 12"
"36225","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 12"
"36225","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT13","May 12"
"36225","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 12"
"36225","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"000",,"CPT13","May 12"
"36225","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 12"
"36225","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 12"
"36225","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 12"
"36225","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 12"
"36226","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 12"
"36226","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT13","May 12"
"36226","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 12"
"36226","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT13","May 12"
"36226","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 12"
"36226","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"000",,"CPT13","May 12"
"36226","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 12"
"36226","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 12"
"36226","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 12"
"36226","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 12"
"36227","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"ZZZ",,"CPT13","May 12"
"36227","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"ZZZ",,"CPT13","May 12"
"36227","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"ZZZ",,"CPT13","May 12"
"36228","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"ZZZ",,"CPT13","May 12"
"36228","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,,"ZZZ",,"CPT13","May 12"
"36228","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"ZZZ",,"CPT13","May 12"
"36228","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"ZZZ",,"CPT13","May 12"
"36228","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"ZZZ",,"CPT13","May 12"
"36245","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Accessory, Procedure","SD141","brush, protected airway specimen","item",13.00,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36245","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Accessory, Procedure","SD141","brush, protected airway specimen","item",13.00,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36246","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Accessory, Procedure","SD141","brush, protected airway specimen","item",13.00,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"CPT12","Feb 8"
"36247","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"CPT12","Feb 8"
"36248","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"ZZZ",,"Jan04","9"
"36248","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,0.00,"ZZZ",,"Jan04","9"
"36251","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 10"
"36251","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT12","May 10"
"36251","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 10"
"36251","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 10"
"36251","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 10"
"36251","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 10"
"36251","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 10"
"36251","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 10"
"36251","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 10"
"36252","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT12","May 10"
"36252","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 10"
"36252","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 10"
"36252","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 10"
"36252","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 10"
"36252","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 10"
"36252","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 10"
"36252","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 10"
"36253","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT12","May 10"
"36253","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 10"
"36253","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 10"
"36253","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 10"
"36253","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 10"
"36253","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 10"
"36253","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 10"
"36253","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 10"
"36254","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT12","May 10"
"36254","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 10"
"36254","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 10"
"36254","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 10"
"36254","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 10"
"36254","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 10"
"36254","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 10"
"36254","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 10"
"36260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"36260","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"36260","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"36260","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"36261","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"36261","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"36262","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"36262","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"36299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"36400","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"36400","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36400","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"36400","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36400","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36405","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"36405","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36405","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"36405","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36405","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36406","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"36406","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36406","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"36406","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36406","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36410","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"36410","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36410","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"36410","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36410","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36415","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"36415","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36415","RUC","Hypodermic, IV","SC005","blood collection capillary tube","item",0.02,1.00,,"XXX",,,
"36415","RUC","Hypodermic, IV","SC021","lancet","item",0.03,1.00,,"XXX",,,
"36415","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36415","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36416","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"36416","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36416","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"36416","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36416","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36416","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,1.00,,"XXX",,,
"36420","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","E"
"36425","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"36430","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Mar04","N"
"36430","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Mar04","N"
"36440","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"36450","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"36455","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"36460","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"36468","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"36469","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"36470","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,"CPT12","5 Year"
"36470","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,"CPT12","5 Year"
"36470","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,2.00,,"010",,"CPT12","5 Year"
"36470","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT12","5 Year"
"36470","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,"CPT12","5 Year"
"36470","RUC","Pharmacy, Rx","SH062","sclerosing solution inj","ml",2.02,10.00,,"010",,"CPT12","5 Year"
"36471","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT12","5 Year"
"36471","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,"CPT12","5 Year"
"36471","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,2.00,,"010",,"CPT12","5 Year"
"36471","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,"CPT12","5 Year"
"36471","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,"CPT12","5 Year"
"36471","RUC","Pharmacy, Rx","SH062","sclerosing solution inj","ml",2.02,10.00,,"010",,"CPT12","5 Year"
"36475","RUC","Kit, Pack, Tray","SA026","kit, radiofrequency introducer","kit",50.00,1.00,0.00,"000",,,
"36475","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36475","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,,
"36475","RUC","Gown, Drape","SB048","sheath-cover, sterile, 96in x 6in (transducer)","item",9.58,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,,
"36475","RUC","Hypodermic, IV","SC074","iv pressure infusor bag","item",18.46,1.00,0.00,"000",,,
"36475","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,,
"36475","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,,
"36475","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,,
"36475","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,,
"36475","RUC","Accessory, Procedure","SD155","catheter, RF endovenous occlusion","item",725.00,1.00,0.00,"000",,,
"36475","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,,
"36475","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"000",,,
"36475","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36475","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,,
"36475","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,0.00,"000",,,
"36475","RUC","Wound Care, Dressings","SG087","stockings, knee length, 20-30mm compression","pair",49.67,1.00,0.00,"000",,,
"36475","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,60.00,0.00,"000",,,
"36475","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"36475","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,2.00,0.00,"000",,,
"36475","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,,
"36475","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,,
"36475","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,0.00,"000",,,
"36475","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,0.00,"000",,,
"36475","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36475","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"000",,,
"36475","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,10.00,0.00,"000",,,
"36475","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,,
"36475","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,0.00,"000",,,
"36475","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"000",,,
"36476","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"ZZZ",,,
"36476","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"ZZZ",,,
"36476","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,,
"36476","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"ZZZ",,,
"36476","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"ZZZ",,,
"36476","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"ZZZ",,,
"36476","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"ZZZ",,,
"36476","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"ZZZ",,,
"36476","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,0.00,"ZZZ",,,
"36476","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,,
"36476","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,2.00,0.00,"ZZZ",,,
"36476","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,0.00,"ZZZ",,,
"36476","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,0.00,"ZZZ",,,
"36476","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"ZZZ",,,
"36476","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,10.00,0.00,"ZZZ",,,
"36476","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"ZZZ",,,
"36478","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36478","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,,
"36478","RUC","Kit, Pack, Tray","SA074","kit, endovascular laser treatment","kit",519.00,1.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,,
"36478","RUC","Gown, Drape","SB048","sheath-cover, sterile, 96in x 6in (transducer)","item",9.58,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"000",,,
"36478","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,,
"36478","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,,
"36478","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,,
"36478","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"000",,,
"36478","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36478","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,,
"36478","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,0.00,"000",,,
"36478","RUC","Wound Care, Dressings","SG087","stockings, knee length, 20-30mm compression","pair",49.67,1.00,0.00,"000",,,
"36478","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,60.00,0.00,"000",,,
"36478","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"36478","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,2.00,0.00,"000",,,
"36478","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"000",,,
"36478","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,,
"36478","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,0.00,"000",,,
"36478","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,0.00,"000",,,
"36478","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36478","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"000",,,
"36478","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,10.00,0.00,"000",,,
"36478","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,,
"36478","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,0.00,"000",,,
"36478","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"000",,,
"36479","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"ZZZ",,,
"36479","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"ZZZ",,,
"36479","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,,
"36479","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"ZZZ",,,
"36479","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"ZZZ",,,
"36479","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"ZZZ",,,
"36479","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"ZZZ",,,
"36479","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"ZZZ",,,
"36479","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,0.00,"ZZZ",,,
"36479","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,,
"36479","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,2.00,0.00,"ZZZ",,,
"36479","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,0.00,"ZZZ",,,
"36479","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,0.00,"ZZZ",,,
"36479","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"ZZZ",,,
"36479","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,10.00,0.00,"ZZZ",,,
"36479","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"ZZZ",,,
"36481","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"Feb09",
"36481","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT10",
"36481","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Feb09",
"36481","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb09",
"36481","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Feb09",
"36481","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT10",
"36481","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Feb09",
"36481","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Feb09",
"36481","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"Feb09",
"36481","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Feb09",
"36481","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD153","catheter, curved","item",17.77,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"000",,"Feb09",
"36481","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"Feb09",
"36481","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Feb09",
"36481","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Feb09",
"36481","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"Feb09",
"36481","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,0.00,"000",,"Feb09",
"36481","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"Feb09",
"36481","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"Feb09",
"36481","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Feb09",
"36481","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"Feb09",
"36481","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Feb09",
"36481","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"Feb09",
"36481","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Feb09",
"36481","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"Feb09",
"36500","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"36510","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,"Mar04","N"
"36510","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,"Mar04","N"
"36510","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Mar04","N"
"36511","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36512","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36513","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36514","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Kit, Pack, Tray","SA085","tray, central line dressing change","tray",2.43,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,0.00,"000",,"Mar04","D"
"36514","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"000",,"Mar04","D"
"36514","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"Mar04","D"
"36514","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,8.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,8.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC084","tubing set, blood warmer","item",7.39,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC085","tubing set, plasma exchange","item",173.33,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC089","needle, Vacutainer","item",0.32,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Hypodermic, IV","SC091","Vacutainer","item",5.90,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,0.00,"000",,"Mar04","D"
"36514","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Pharmacy, Rx","SH093","heparin 5,000 units-ml inj","ml",0.50,4.00,0.00,"000",,"Mar04","D"
"36514","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"000",,"Mar04","D"
"36514","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,2.00,0.00,"000",,"Mar04","D"
"36514","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,14.00,0.00,"000",,"Mar04","D"
"36514","RUC","Pharmacy, NonRx","SJ071","ACD-A anticoagulant","item",6.58,1.00,0.00,"000","93971",,
"36514","RUC","Lab","SL197","label for blood tube","item",3.5e-03,8.00,0.00,"000",,,
"36515","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Kit, Pack, Tray","SA072","kit, apheresis treatment","kit",140.00,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Kit, Pack, Tray","SA085","tray, central line dressing change","tray",2.43,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,0.00,"000",,"Mar04","D"
"36515","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"000",,"Mar04","D"
"36515","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"Mar04","D"
"36515","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,8.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,2.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,8.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC065","adapter, luer lock","item",1.24,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC066","adapter, spike (for syringe)","item",4.55,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC084","tubing set, blood warmer","item",7.39,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC086","tubing set, plasma transfer","item",1.68,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC087","tubing set, Y-type blood recipient","item",5.75,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC089","needle, Vacutainer","item",0.32,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Hypodermic, IV","SC091","Vacutainer","item",5.90,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Accessory, Procedure","SD159","container, 2000ml, transfer pack","item",7.12,2.00,0.00,"000",,"Mar04","D"
"36515","RUC","Accessory, Procedure","SD160","container, 600ml, transfer pack","item",3.36,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Accessory, Procedure","SD185","plasma antibody adsorption column (Prosorba)","item",1150.00,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Accessory, Procedure","SD187","plasma leukocyte filter","item",49.71,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,0.00,"000",,"Mar04","D"
"36515","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Pharmacy, Rx","SH093","heparin 5,000 units-ml inj","ml",0.50,4.00,0.00,"000",,"Mar04","D"
"36515","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"000",,"Mar04","D"
"36515","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,2.00,0.00,"000",,"Mar04","D"
"36515","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,14.00,0.00,"000",,"Mar04","D"
"36515","RUC","Pharmacy, NonRx","SJ071","ACD-A anticoagulant","item",6.58,1.00,0.00,"000","93971",,
"36515","RUC","Lab","SL197","label for blood tube","item",3.5e-03,8.00,0.00,"000",,,
"36516","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Kit, Pack, Tray","SA085","tray, central line dressing change","tray",2.43,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,0.00,"000",,"Mar04","D"
"36516","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"000",,"Mar04","D"
"36516","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"Mar04","D"
"36516","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,8.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,8.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC083","tubing set (Liposorber)","item",50.00,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC084","tubing set, blood warmer","item",7.39,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC089","needle, Vacutainer","item",0.32,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Hypodermic, IV","SC091","Vacutainer","item",5.90,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Accessory, Procedure","SD186","plasma LDL adsorption column (Liposorber)","item",1300.00,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Accessory, Procedure","SD188","plasma separator (Liposorber)","item",100.00,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,0.00,"000",,"Mar04","D"
"36516","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,2.00,0.00,"000",,"Mar04","D"
"36516","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"000",,"Mar04","D"
"36516","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,2.00,0.00,"000",,"Mar04","D"
"36516","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,14.00,0.00,"000",,"Mar04","D"
"36516","RUC","Pharmacy, NonRx","SJ071","ACD-A anticoagulant","item",6.58,1.00,0.00,"000","93971",,
"36516","RUC","Lab","SL197","label for blood tube","item",3.5e-03,8.00,0.00,"000",,,
"36522","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"Sep04",
"36522","RUC","Kit, Pack, Tray","SA024","kit, photopheresis procedure","kit",858.00,1.00,0.00,"000",,"Sep04",
"36522","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"36522","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Sep04",
"36522","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Sep04",
"36522","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Sep04",
"36522","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,"Sep04",
"36522","RUC","Hypodermic, IV","SC088","fistula needle, dialysis, 17g","item",1.62,2.00,0.00,"000",,"Sep04",
"36522","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"000",,"Sep04",
"36522","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,"Sep04",
"36522","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Sep04",
"36522","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,1.00,0.00,"000",,"Sep04",
"36522","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,0.00,"000",,"Sep04",
"36522","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,"Sep04",
"36522","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,1.00,0.00,"000",,"Sep04",
"36522","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,"Sep04",
"36522","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Sep04",
"36522","RUC","Pharmacy, NonRx","SJ075","methoxsalen, 10ml vial","item",49.50,1.00,0.00,"000",,"Sep04",
"36522","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,1.00,0.00,"000",,"Sep04",
"36555","RUC","Kit, Pack, Tray","SA009","kit, CVA catheter, non-tunneled","kit",68.00,1.00,0.00,"000",,,
"36555","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,,
"36555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36555","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36555","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36555","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36555","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36555","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36555","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,,
"36555","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,,
"36555","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36555","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36555","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36555","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36555","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36555","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36555","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36555","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36555","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36555","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36555","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36555","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36556","RUC","Kit, Pack, Tray","SA009","kit, CVA catheter, non-tunneled","kit",68.00,1.00,0.00,"000",,,
"36556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36556","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36556","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36556","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36556","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36556","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36556","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"36556","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"36556","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36556","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36556","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36556","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36556","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36556","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36556","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36556","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36556","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36556","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36556","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36556","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36557","RUC","Kit, Pack, Tray","SA010","kit, CVA catheter, tunneled, without port-pump","kit",308.00,1.00,0.00,"010",,,
"36557","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36557","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36557","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36557","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36557","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36557","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36557","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36557","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36557","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36557","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36557","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36557","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36557","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36557","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36557","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36557","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36557","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36557","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36557","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36557","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36557","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36557","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36557","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36557","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36558","RUC","Kit, Pack, Tray","SA010","kit, CVA catheter, tunneled, without port-pump","kit",308.00,1.00,0.00,"010",,,
"36558","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36558","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36558","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36558","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36558","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36558","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36558","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36558","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36558","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36558","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36558","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36558","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36558","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36558","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36558","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36558","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36558","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36558","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36558","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36558","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36558","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36558","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36558","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36560","RUC","Kit, Pack, Tray","SA011","kit, CVA catheter, tunneled, with subcut port","kit",495.00,1.00,0.00,"010",,,
"36560","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36560","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36560","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36560","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36560","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36560","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36560","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36560","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36560","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36560","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36560","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36560","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36560","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36560","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36560","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36560","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36560","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36560","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36560","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36560","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36560","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36560","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36560","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36561","RUC","Kit, Pack, Tray","SA011","kit, CVA catheter, tunneled, with subcut port","kit",495.00,1.00,0.00,"010",,,
"36561","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36561","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36561","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36561","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36561","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36561","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36561","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36561","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36561","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36561","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36561","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36561","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36561","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36561","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36561","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36561","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36561","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36561","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36561","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36561","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36561","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36561","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36561","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36561","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36563","RUC","Kit, Pack, Tray","SA011","kit, CVA catheter, tunneled, with subcut port","kit",495.00,1.00,0.00,"010",,,
"36563","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36563","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36563","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36563","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36563","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36563","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36563","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36563","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36563","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36563","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36563","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36563","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36563","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36563","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36563","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36563","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36563","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36563","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36563","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36563","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36563","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36563","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36563","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36563","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36565","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36565","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36565","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36565","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36565","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36565","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36565","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36565","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36565","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36565","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36565","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36565","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36565","RUC","Accessory, Procedure","SD020","catheter, CVA, tunneled, dual (Tesio)","item",355.00,1.00,0.00,"010",,,
"36565","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,2.00,0.00,"010",,,
"36565","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36565","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36565","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36565","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,9.00,0.00,"010",,,
"36565","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36565","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36565","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36565","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36565","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36565","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36566","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36566","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36566","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36566","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36566","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36566","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36566","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36566","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36566","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36566","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36566","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36566","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36566","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36566","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,2.00,0.00,"010",,,
"36566","RUC","Accessory, Procedure","SD221","catheter, CVA, system, tunneled w-port, dual (LifeSite)","item",1750.00,2.00,0.00,"010",,,
"36566","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36566","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,,
"36566","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,,
"36566","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,,
"36566","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36566","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"010",,,
"36566","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36566","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36566","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36566","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36568","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"000",,,
"36568","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,,
"36568","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36568","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36568","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36568","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36568","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36568","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36568","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,,
"36568","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,,
"36568","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36568","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36568","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36568","RUC","Accessory, Procedure","SD022","catheter, CVA, peripheral, without port-pump","item",70.62,1.00,0.00,"000",,,
"36568","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36568","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36568","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36568","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36568","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36568","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36568","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36568","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36568","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36569","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"000",,,
"36569","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36569","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36569","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36569","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36569","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36569","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36569","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"36569","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"36569","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36569","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36569","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36569","RUC","Accessory, Procedure","SD022","catheter, CVA, peripheral, without port-pump","item",70.62,1.00,0.00,"000",,,
"36569","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36569","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36569","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36569","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36569","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36569","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36569","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36569","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36569","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36570","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36570","RUC","Kit, Pack, Tray","SA025","kit, PICC with subcut port","kit",586.00,1.00,0.00,"010",,,
"36570","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36570","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36570","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36570","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36570","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36570","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36570","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36570","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36570","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36570","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36570","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36570","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36570","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36570","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36570","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36570","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36570","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36570","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36570","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36570","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36570","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36570","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36571","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36571","RUC","Kit, Pack, Tray","SA025","kit, PICC with subcut port","kit",586.00,1.00,0.00,"010",,,
"36571","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36571","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36571","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36571","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36571","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36571","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36571","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36571","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36571","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36571","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36571","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36571","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36571","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36571","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36571","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36571","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36571","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36571","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36571","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36571","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36571","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36571","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36571","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36575","RUC","Kit, Pack, Tray","SA012","kit, CVA device repair","kit",94.23,1.00,0.00,"000",,,
"36575","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36575","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36575","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36575","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36575","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36575","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"36575","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"36575","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36575","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36575","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36575","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36575","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36575","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36575","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36575","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36575","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36575","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36575","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36575","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36576","RUC","Kit, Pack, Tray","SA012","kit, CVA device repair","kit",94.23,,,"010",,,
"36576","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36576","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36576","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36576","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36576","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36576","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36576","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36576","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36576","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36576","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36576","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36576","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36576","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36576","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,,
"36576","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36576","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36576","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36576","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36576","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36576","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36576","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36576","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36576","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36576","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36578","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36578","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36578","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36578","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36578","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36578","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36578","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36578","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36578","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36578","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36578","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36578","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36578","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36578","RUC","Accessory, Procedure","SD021","catheter, CVA, non-tunneled","item",106.00,1.00,0.00,"010",,,
"36578","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"010",,,
"36578","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36578","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36578","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36578","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36578","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36578","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36578","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36578","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36578","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36578","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36580","RUC","Kit, Pack, Tray","SA009","kit, CVA catheter, non-tunneled","kit",68.00,1.00,0.00,"000",,,
"36580","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36580","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36580","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36580","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36580","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36580","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36580","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"36580","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"36580","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36580","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36580","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36580","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,,
"36580","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36580","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36580","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36580","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36580","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36580","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36580","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36580","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36580","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36581","RUC","Kit, Pack, Tray","SA010","kit, CVA catheter, tunneled, without port-pump","kit",308.00,1.00,0.00,"010",,,
"36581","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36581","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36581","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36581","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36581","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36581","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36581","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36581","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36581","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36581","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36581","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36581","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36581","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36581","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,2.00,0.00,"010",,,
"36581","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36581","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36581","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36581","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36581","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36581","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36581","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36581","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36581","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36581","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36582","RUC","Kit, Pack, Tray","SA011","kit, CVA catheter, tunneled, with subcut port","kit",495.00,1.00,0.00,"010",,,
"36582","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36582","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36582","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36582","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36582","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36582","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36582","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36582","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36582","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36582","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36582","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36582","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36582","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36582","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"010",,,
"36582","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36582","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36582","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36582","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36582","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36582","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36582","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36582","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36582","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36582","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36583","RUC","Kit, Pack, Tray","SA011","kit, CVA catheter, tunneled, with subcut port","kit",495.00,1.00,0.00,"010",,,
"36583","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36583","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36583","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36583","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36583","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36583","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36583","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36583","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36583","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36583","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36583","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36583","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36583","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36583","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"010",,,
"36583","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36583","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36583","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36583","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36583","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36583","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36583","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36583","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36583","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36583","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36584","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36584","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36584","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36584","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36584","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"36584","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"36584","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"36584","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"36584","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"36584","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36584","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36584","RUC","Accessory, Procedure","SD022","catheter, CVA, peripheral, without port-pump","item",70.62,1.00,0.00,"000",,,
"36584","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,,
"36584","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36584","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36584","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36584","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36584","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36584","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36584","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36584","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36584","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36585","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,2.00,0.00,"010",,,
"36585","RUC","Kit, Pack, Tray","SA025","kit, PICC with subcut port","kit",586.00,1.00,0.00,"010",,,
"36585","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36585","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36585","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36585","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36585","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36585","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36585","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36585","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36585","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36585","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36585","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36585","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36585","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36585","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36585","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"36585","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"010",,,
"36585","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36585","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36585","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36585","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36585","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36589","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36589","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,,
"36589","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36589","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36589","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36589","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36589","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,,
"36589","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"010",,,
"36589","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36589","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36589","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,,
"36589","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36589","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36589","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36590","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,,
"36590","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"36590","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,,
"36590","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,,
"36590","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"36590","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,,
"36590","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,,
"36590","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"36590","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,,
"36590","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,,
"36590","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,,
"36590","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,,
"36590","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,,
"36590","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"010",,,
"36590","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,,
"36590","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,,
"36590","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,,
"36590","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"010",,,
"36590","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,,
"36590","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,,
"36591","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"36591","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"36591","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36591","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"36591","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,1.00,,"XXX",,,
"36591","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"36591","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"36591","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,,
"36591","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,,
"36591","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,,
"36591","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,7.00,,"XXX",,,
"36591","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,3.00,,"XXX",,,
"36591","RUC","Lab","SL085","label for microscope slides","item",0.02,6.00,,"XXX",,,
"36592","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT08","26"
"36592","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT08","26"
"36592","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"XXX",,"CPT08","26"
"36592","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,4.00,,"XXX",,"CPT08","26"
"36592","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT08","26"
"36592","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,7.00,,"XXX",,"CPT08","26"
"36592","RUC","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,3.00,,"XXX",,"CPT08","26"
"36592","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,3.00,,"XXX",,"CPT08","26"
"36592","RUC","Lab","SL085","label for microscope slides","item",0.02,6.00,,"XXX",,"CPT08","26"
"36593","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"36593","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"36593","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"36593","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"36593","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"36593","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,1.00,,"XXX",,,
"36593","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,3.00,,"XXX",,,
"36593","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX",,,
"36593","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,,
"36593","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36593","RUC","Lab","SL144","thrombin reagent (Thromboquik)","ml",2.73,1.00,,"XXX",,,
"36595","RUC","Kit, Pack, Tray","SA020","kit, loop snare (Microvena)","kit",275.00,1.00,,"000",,,
"36595","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,,
"36596","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,,"000",,,
"36596","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"36596","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,,
"36596","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"36596","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"36596","RUC","Accessory, Procedure","SD008","brush, ureteral","item",47.50,1.00,,"000",,,
"36596","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,,
"36596","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"000",,,
"36597","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"36597","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,,
"36597","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"36597","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"000",,,
"36597","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,,
"36597","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"000",,,
"36597","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,,
"36597","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,,
"36597","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,,
"36597","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"36597","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36597","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,,
"36597","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,,
"36597","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"36597","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"36597","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"36598","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,,
"36598","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","9"
"36598","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,,
"36598","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","9"
"36598","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000","11975",,
"36598","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Aug03","6"
"36598","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"000","11975",,
"36598","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"36598","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"000",,,
"36598","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,0.00,"000",,"Aug03","6"
"36598","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,,
"36598","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"000",,,
"36598","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,,
"36598","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,,
"36598","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"Aug03","7"
"36598","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"Aug03","7"
"36598","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"Aug03","7"
"36598","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,30.00,0.00,"000",,,
"36600","RUC","Kit, Pack, Tray","SA003","kit, arterial blood gas (ABG)","kit",1.87,1.00,,"XXX",,,
"36600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"36600","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"36600","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"36600","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"36600","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"36600","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"XXX",,,
"36600","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"36620","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08","rv"
"36625","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36640","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36660","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36680","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36800","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36810","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36815","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36818","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"36818","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"36819","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"36819","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"36820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Feb08","ss"
"36820","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"36821","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr08","ss"
"36821","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36822","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"36822","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36823","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"36823","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"36825","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"36830","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"36831","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36832","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"36832","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"36833","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"36833","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","36832",,
"36833","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090","36832",,
"36833","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090","36832",,
"36835","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"36835","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"36835","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"36835","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"36838","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"36838","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"36860","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000","36860","Feb05",
"36860","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"Feb05",
"36860","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Feb05",
"36860","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"000",,"Feb05",
"36860","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"000",,"Feb05",
"36860","RUC","Accessory, Procedure","SD008","brush, ureteral","item",47.50,1.00,0.00,"000",,"Feb05",
"36860","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"Feb05",
"36860","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Feb05",
"36861","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"36870","RUC","Kit, Pack, Tray","SA015","kit, for percutaneous thrombolytic device (Trerotola)","kit",487.50,1.00,,"090",,,
"36870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,,
"36870","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,,"090",,,
"36870","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"090",,,
"36870","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"090",,,
"36870","RUC","Accessory, Procedure","SD032","catheter, thrombectomy-Fogarty","item",101.75,1.00,,"090",,,
"36870","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,2.00,,"090",,,
"36870","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,,"090",,,
"36870","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"090",,,
"36870","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"090",,,
"36870","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"090",,,
"36870","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,1.00,"090",,,
"37140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"CPT12","5 Year"
"37140","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"CPT12","5 Year"
"37145","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"CPT12","5 Year"
"37160","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"37180","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37181","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"CPT12","5 Year"
"37181","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37182","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"37183","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"Oct08",
"37183","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,,0.00,"000",,"Oct08",
"37183","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Oct08",
"37183","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Oct08",
"37183","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Oct08",
"37183","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT10",
"37183","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Oct08",
"37183","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Oct08",
"37183","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"Oct08",
"37183","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Oct08",
"37183","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD153","catheter, curved","item",17.77,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"Oct08",
"37183","RUC","Accessory, Procedure","SD238","stent, GORE VIATORR TIPS Endoprosthesis","item",3450.00,1.00,0.00,"000",,"Oct08",
"37183","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Oct08",
"37183","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Oct08",
"37183","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"Oct08",
"37183","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"Oct08",
"37183","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"Oct08",
"37183","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Oct08",
"37183","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"Oct08",
"37183","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Oct08",
"37183","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"Oct08",
"37183","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Oct08",
"37183","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"Oct08",
"37184","RUC","Kit, Pack, Tray","SA015","kit, for percutaneous thrombolytic device (Trerotola)","kit",487.50,1.00,0.00,"000",,"RUC05",
"37184","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"RUC05",
"37184","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"RUC05",
"37184","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"RUC05",
"37184","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"RUC05",
"37184","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,0.00,"000",,"RUC05",
"37184","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"RUC05",
"37184","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"000",,"RUC05",
"37184","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,0.00,"000",,"RUC05",
"37184","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"RUC05",
"37184","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"RUC05",
"37184","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"RUC05",
"37184","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"37184","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"RUC05",
"37184","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"RUC05",
"37184","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"37184","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"RUC05",
"37184","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"RUC05",
"37184","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"37185","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"ZZZ",,"RUC05",
"37185","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,0.00,"ZZZ",,"RUC05",
"37185","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"ZZZ",,"RUC05",
"37185","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"ZZZ",,"RUC05",
"37185","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"ZZZ",,"RUC05",
"37186","RUC","Kit, Pack, Tray","SA015","kit, for percutaneous thrombolytic device (Trerotola)","kit",487.50,1.00,0.00,"ZZZ",,"RUC05",
"37186","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"ZZZ",,"RUC05",
"37186","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,0.00,"ZZZ",,"RUC05",
"37186","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"ZZZ",,"RUC05",
"37186","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"ZZZ",,"RUC05",
"37186","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"ZZZ",,"RUC05",
"37187","RUC","Kit, Pack, Tray","SA015","kit, for percutaneous thrombolytic device (Trerotola)","kit",487.50,1.00,0.00,"000",,"RUC05",
"37187","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"RUC05",
"37187","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"RUC05",
"37187","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"RUC05",
"37187","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"RUC05",
"37187","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,0.00,"000",,"RUC05",
"37187","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"RUC05",
"37187","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"000",,"RUC05",
"37187","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,0.00,"000",,"RUC05",
"37187","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"RUC05",
"37187","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"RUC05",
"37187","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"RUC05",
"37187","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"37187","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"RUC05",
"37187","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"RUC05",
"37187","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"37187","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"RUC05",
"37187","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"RUC05",
"37187","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"37188","RUC","Kit, Pack, Tray","SA015","kit, for percutaneous thrombolytic device (Trerotola)","kit",487.50,1.00,0.00,"000",,"RUC05",
"37188","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"RUC05",
"37188","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"RUC05",
"37188","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"RUC05",
"37188","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"RUC05",
"37188","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,0.00,"000",,"RUC05",
"37188","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"RUC05",
"37188","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"000",,"RUC05",
"37188","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,0.00,"000",,"RUC05",
"37188","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"RUC05",
"37188","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"RUC05",
"37188","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"RUC05",
"37188","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"37188","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"RUC05",
"37188","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"RUC05",
"37188","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"37188","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"RUC05",
"37188","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"RUC05",
"37188","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"37191","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Gown, Drape","SB048","sheath-cover, sterile, 96in x 6in (transducer)","item",9.58,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 11"
"37191","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Accessory, Procedure","SD267","IVC filter","item",1595.00,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 11"
"37191","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 11"
"37191","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 11"
"37191","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Wound Care, Dressings","SG095","Hemostatic patch","item",35.75,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 11"
"37191","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 11"
"37191","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 11"
"37191","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 11"
"37191","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 11"
"37191","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 11"
"37191","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 11"
"37191","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Gown, Drape","SB048","sheath-cover, sterile, 96in x 6in (transducer)","item",9.58,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Accessory, Procedure","SD268","IVC retrieval set","kit",350.00,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 11"
"37192","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 11"
"37192","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 11"
"37192","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Wound Care, Dressings","SG095","Hemostatic patch","item",35.75,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 11"
"37192","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 11"
"37192","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 11"
"37192","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 11"
"37192","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 11"
"37192","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 11"
"37192","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 11"
"37192","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Gown, Drape","SB048","sheath-cover, sterile, 96in x 6in (transducer)","item",9.58,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Accessory, Procedure","SD268","IVC retrieval set","kit",350.00,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT12","May 11"
"37193","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT12","May 11"
"37193","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT12","May 11"
"37193","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Wound Care, Dressings","SG095","Hemostatic patch","item",35.75,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","May 11"
"37193","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT12","May 11"
"37193","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT12","May 11"
"37193","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT12","May 11"
"37193","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT12","May 11"
"37193","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT12","May 11"
"37193","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT12","May 11"
"37193","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT12","May 11"
"37195","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"37197","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Kit, Pack, Tray","SA020","kit, loop snare (Microvena)","kit",275.00,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT13","May 14"
"37197","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT13","May 14"
"37197","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","May 14"
"37197","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT13","May 14"
"37197","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT13","May 14"
"37197","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT13","May 14"
"37197","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT13","May 14"
"37197","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT13","May 14"
"13120","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"37197","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT13","May 14"
"37197","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT13","May 14"
"37197","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT13","May 14"
"37200","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"37202","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"37204","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"37205","RUC","Kit, Pack, Tray","SA103","stent, vascular, deployment system, Cordis SMART","kit",1645.00,1.50,0.00,"000",,"Apr07","S"
"37205","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"Apr07","S"
"37205","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,0.00,"000",,"Apr07","S"
"37205","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"Apr07","S"
"37206","RUC","Kit, Pack, Tray","SA103","stent, vascular, deployment system, Cordis SMART","kit",1645.00,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"ZZZ",,"Apr07","S"
"37206","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"Apr07","S"
"37206","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,3.00,0.00,"ZZZ",,"Apr07","S"
"37207","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"37208","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"37210","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT07",
"37210","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT07",
"37210","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT07",
"37210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT07",
"37210","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT07",
"37210","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT07",
"37210","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT07",
"37210","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"CPT07",
"37210","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT07",
"37210","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD153","catheter, curved","item",17.77,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT07",
"37210","RUC","Accessory, Procedure","SD219","agent, embolic, 2 ml uou","unit",258.00,5.00,0.00,"000",,"CPT07",
"37210","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"CPT07",
"37210","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"CPT07",
"37210","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT07",
"37210","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,0.00,"000",,"CPT07",
"37210","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"CPT07",
"37210","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT07",
"37210","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT07",
"37210","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT07",
"37210","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT07",
"37210","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT07",
"37210","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT07",
"37210","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT07",
"37210","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,0.00,"000",,"CPT07",
"37210","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"000",,"CPT07",
"37210","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT07",
"37210","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"000",,"CPT07",
"37210","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,6.00,0.00,"000",,"CPT07",
"37215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"37216","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"37220","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37220","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37220","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37220","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37220","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37220","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37220","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37220","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37220","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,2.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37220","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37220","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37220","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37220","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37220","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37220","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT11","27"
"37220","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37220","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37220","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37220","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT11","27"
"37220","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"000",,"CPT11","27"
"37220","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37220","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37220","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37220","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37220","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37221","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37221","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37221","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37221","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37221","RUC","Kit, Pack, Tray","SA103","stent, vascular, deployment system, Cordis SMART","kit",1645.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37221","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37221","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37221","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37221","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37221","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37221","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37221","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37221","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37221","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37221","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37221","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37221","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37221","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37221","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37221","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37221","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT11","27"
"37221","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"000",,"CPT11","27"
"37221","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37221","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37221","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37221","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37221","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37222","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"ZZZ",,"CPT11","27"
"37222","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"ZZZ",,"CPT11","27"
"37222","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"ZZZ",,"CPT11","27"
"37222","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"ZZZ",,"CPT11","27"
"37222","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"ZZZ",,"CPT11","27"
"37223","RUC","Kit, Pack, Tray","SA103","stent, vascular, deployment system, Cordis SMART","kit",1645.00,1.00,,"ZZZ",,"CPT11","27"
"37223","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"ZZZ",,"CPT11","27"
"37223","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"ZZZ",,"CPT11","27"
"37223","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"ZZZ",,"CPT11","27"
"37223","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"ZZZ",,"CPT11","27"
"37223","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"ZZZ",,"CPT11","27"
"37224","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37224","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37224","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37224","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37224","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37224","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37224","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37224","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37224","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37224","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,3.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37224","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37224","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37224","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37224","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37224","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT11","27"
"37224","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37224","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37224","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37224","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT11","27"
"37224","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT11","27"
"37224","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37224","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37224","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37224","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37224","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37225","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37225","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37225","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37225","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37225","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37225","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37225","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37225","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37225","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37225","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,4.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD253","atherectomy device  (Spectronetics laser or Fox Hollow)","kit",4979.67,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD255","Reentry device (Frontier, Outback, Pioneer)","item",,1.00,,"000",,"CPT11","27"
"37225","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37225","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37225","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37225","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37225","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37225","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37225","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37225","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37225","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37225","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37225","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT11","27"
"37225","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37225","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37225","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37225","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37225","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37226","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37226","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37226","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37226","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37226","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37226","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37226","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37226","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37226","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37226","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,3.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD254","covered stent (VIABAHN, Gore)","item",3768.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD255","Reentry device (Frontier, Outback, Pioneer)","item",,1.00,,"000",,"CPT11","27"
"37226","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37226","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37226","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37226","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37226","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37226","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37226","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37226","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37226","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37226","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37226","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT11","27"
"37226","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37226","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37226","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37226","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37226","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37227","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37227","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37227","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37227","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37227","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37227","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37227","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37227","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37227","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37227","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,4.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD253","atherectomy device  (Spectronetics laser or Fox Hollow)","kit",4979.67,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD254","covered stent (VIABAHN, Gore)","item",3768.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD255","Reentry device (Frontier, Outback, Pioneer)","item",,1.00,,"000",,"CPT11","27"
"37227","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37227","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37227","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37227","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37227","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37227","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37227","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37227","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37227","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37227","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37227","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"000",,"CPT11","27"
"37227","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37227","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37227","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37227","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37227","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37228","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37228","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37228","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37228","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37228","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37228","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37228","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37228","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37228","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37228","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,2.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,2.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD251","Sheath Shuttle (Cook)","item",,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37228","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37228","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37228","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37228","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37228","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,"CPT11","27"
"37228","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37228","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37228","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37228","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37228","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"000",,"CPT11","27"
"37228","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37228","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37228","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37228","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37228","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37229","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37229","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37229","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37229","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37229","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37229","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37229","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37229","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37229","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37229","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,2.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD251","Sheath Shuttle (Cook)","item",,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD253","atherectomy device  (Spectronetics laser or Fox Hollow)","kit",4979.67,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD255","Reentry device (Frontier, Outback, Pioneer)","item",,1.00,,"000",,"CPT11","27"
"37229","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37229","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37229","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37229","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37229","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37229","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37229","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37229","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37229","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37229","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37229","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"000",,"CPT11","27"
"37229","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37229","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37229","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37229","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37229","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37230","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37230","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37230","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37230","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37230","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37230","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37230","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37230","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37230","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,2.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD251","Sheath Shuttle (Cook)","item",,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD255","Reentry device (Frontier, Outback, Pioneer)","item",,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Accessory, Procedure","SD266","stent, self expanding 2-5 mm XPERT (Abbott)","item",2495.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37230","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37230","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37230","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37230","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37230","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37230","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37230","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37230","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37230","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37230","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"000",,"CPT11","27"
"37230","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37230","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37230","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37230","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37230","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37231","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","27"
"37231","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","27"
"37231","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,"CPT11","27"
"37231","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,,"000",,"CPT11","27"
"37231","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","27"
"37231","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,"CPT11","27"
"37231","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,"CPT11","27"
"37231","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT11","27"
"37231","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,4.00,,"000",,"CPT11","27"
"37231","RUC","Hypodermic, IV","SC096","Quick Cross Catheter (Sprectranetics, documentation available)","item",197.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,2.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD207","suture device for vessel closure (Perclose A-T)","item",225.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD249","Sterile Radio-opaque ruler (le Maitre, documentation available)","item",46.95,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD250","introducer sheath, Ansel [45 cm 6 Fr Ansel]","item",90.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD251","Sheath Shuttle (Cook)","item",,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD252","guidewire, Amplatz wire 260 cm","item",47.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD253","atherectomy device  (Spectronetics laser or Fox Hollow)","kit",4979.67,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD255","Reentry device (Frontier, Outback, Pioneer)","item",,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD256","Embolic  Protection Device Spider FX (EV3, documentation available)","item",1365.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Accessory, Procedure","SD266","stent, self expanding 2-5 mm XPERT (Abbott)","item",2495.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,,"000",,"CPT11","27"
"37231","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"000",,"CPT11","27"
"37231","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"000",,"CPT11","27"
"37231","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"000",,"CPT11","27"
"37231","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,"CPT11","27"
"37231","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"000",,"CPT11","27"
"37231","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT11","27"
"37231","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","27"
"37231","RUC","Pharmacy, Rx","SH095","protamine sulfate 10 mg/ml (5ml uou vial)","item",225.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Pharmacy, Rx","SH096","nitroglycerin injection USP 5 mg/mL (10ml uou vial)","item",175.00,1.00,,"000",,"CPT11","27"
"37231","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"000",,"CPT11","27"
"37231","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"000",,"CPT11","27"
"37231","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"000",,"CPT11","27"
"37231","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT11","27"
"37231","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,,"000",,"CPT11","27"
"37231","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,"CPT11","27"
"37231","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"000",,"CPT11","27"
"37232","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"ZZZ",,"CPT11","27"
"37232","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"ZZZ",,"CPT11","27"
"37232","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"ZZZ",,"CPT11","27"
"37232","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,"CPT11","27"
"37232","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"ZZZ",,"CPT11","27"
"37232","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"ZZZ",,"CPT11","27"
"37233","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"ZZZ",,"CPT11","27"
"37233","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"ZZZ",,"CPT11","27"
"37233","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"ZZZ",,"CPT11","27"
"37233","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,"CPT11","27"
"37233","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"ZZZ",,"CPT11","27"
"37233","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Accessory, Procedure","SD266","stent, self expanding 2-5 mm XPERT (Abbott)","item",2495.00,1.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"ZZZ",,"CPT11","27"
"37234","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Accessory, Procedure","SD151","catheter, balloon, low profile PTA","item",431.50,1.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Accessory, Procedure","SD173","guidewire, low profile (SpartaCore)","item",101.25,3.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Accessory, Procedure","SD266","stent, self expanding 2-5 mm XPERT (Abbott)","item",2495.00,1.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,10.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"ZZZ",,"CPT11","27"
"37235","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"ZZZ",,"CPT11","27"
"37250","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"37251","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"37500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"37500","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37500","RUC","Wound Care, Dressings","SG012","bandage, elastic wrap 4in (Ace)","item",1.17,,3.00,"090",,,
"37500","RUC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,,3.00,"090",,,
"37500","RUC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,,3.00,"090",,,
"37501","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"37565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37565","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"37600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37600","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"37605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37605","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"37606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"37606","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"37607","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37607","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37607","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"37607","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"37609","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"37609","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"37609","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"37609","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"37609","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"37609","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"37609","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"37609","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"37609","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"010",,,
"37609","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"37609","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"37609","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"37609","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"37609","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"37609","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"37609","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"37609","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"37609","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"37609","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"37609","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"37609","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"010",,,
"37609","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"37609","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"37609","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"37609","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"37609","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"37609","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"37609","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"37615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"37615","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37616","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"37616","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37617","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37617","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37618","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"37618","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37619","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,"CPT12","May 11"
"37619","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","May 11"
"37650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37660","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37718","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"37718","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"37722","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"37722","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"37735","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"37735","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"37760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","30"
"37761","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","30"
"37765","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"Feb10","21"
"37765","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Feb10","21"
"37765","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,"Feb10","21"
"37765","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"090",,"Feb10","21"
"37765","RUC","Hypodermic, IV","SC074","iv pressure infusor bag","item",18.46,1.00,,"090",,"Feb10","21"
"37765","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,,"090",,"Feb10","21"
"37765","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,,"090",,"Feb10","21"
"37765","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,"Feb10","21"
"37765","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,"Feb10","21"
"37765","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"Feb10","21"
"37765","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"090",,"Feb10","21"
"37765","RUC","Wound Care, Dressings","SG087","stockings, knee length, 20-30mm compression","pair",49.67,1.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,60.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,2.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,,"090",,"Feb10","21"
"37765","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"090",,"Feb10","21"
"37765","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"090",,"Feb10","21"
"37765","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"090",,"Feb10","21"
"37765","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"090",,"Feb10","21"
"37766","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,"Feb10","21"
"37766","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Feb10","21"
"37766","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,"Feb10","21"
"37766","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"090",,"Feb10","21"
"37766","RUC","Hypodermic, IV","SC074","iv pressure infusor bag","item",18.46,1.00,,"090",,"Feb10","21"
"37766","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,,"090",,"Feb10","21"
"37766","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,,"090",,"Feb10","21"
"37766","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"090",,"Feb10","21"
"37766","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"090",,"Feb10","21"
"37766","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"090",,"Feb10","21"
"37766","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,1.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"090",,"Feb10","21"
"37766","RUC","Wound Care, Dressings","SG087","stockings, knee length, 20-30mm compression","pair",49.67,1.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,100.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,2.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,,"090",,"Feb10","21"
"37766","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"090",,"Feb10","21"
"37766","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"090",,"Feb10","21"
"37766","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"090",,"Feb10","21"
"37766","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"090",,"Feb10","21"
"37780","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37780","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"37785","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Jan04","19"
"37785","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,3.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,4.00,0.00,"090",,"Jan04","19"
"37785","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,"Jan04","19"
"37785","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Jan04","19"
"37785","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","19"
"37785","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,60.00,0.00,"090",,"Jan04","19"
"37785","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","19"
"37785","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"090",,"Jan04","19"
"37788","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"37788","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37788","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"37788","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,,
"37790","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"37790","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"37790","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"37790","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"37799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"38100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"38100","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"38101","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38102","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"38115","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"38115","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","38100",,
"38120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","38100",,
"38129","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"38200","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"38204","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38205","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"38206","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"38207","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38208","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT12","May 12"
"38209","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT12","May 12"
"38210","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38211","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38212","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38213","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38214","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38215","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"38220","RUC","Kit, Pack, Tray","SA062","tray, bone marrow biopsy-aspiration","tray",34.47,1.00,,"XXX",,,
"38220","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"38220","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"38220","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"38220","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"XXX",,,
"38220","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"38220","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,,
"38220","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"38220","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,,"XXX",,,
"38220","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"38220","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"XXX",,,
"38220","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"38221","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"38221","RUC","Kit, Pack, Tray","SA062","tray, bone marrow biopsy-aspiration","tray",34.47,1.00,,"XXX",,,
"38221","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"38221","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"38221","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"38221","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"XXX",,,
"38221","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"38221","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,,
"38221","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"38221","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,,"XXX",,,
"38221","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"38221","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"XXX",,,
"38221","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"38221","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,2.00,,"XXX",,,
"38230","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 12"
"38232","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 12"
"38240","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT12","May 12"
"38241","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"38242","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"38300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,,
"38300","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"38300","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"38300","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,1.00,"010",,,
"38300","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"38300","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,,"010",,,
"38300","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,,"010",,,
"38300","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,2.00,,"010",,,
"38300","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,5.00,,"010",,,
"38300","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,5.00,1.00,"010",,,
"38300","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"38300","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"38300","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"38300","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"38300","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"38300","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"38300","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"38300","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,"010",,,
"38300","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"38300","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"38300","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,,"010",,,
"38300","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"38300","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,,
"38300","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"38300","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"38300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"38300","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"38300","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"38305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Jan04","19"
"38305","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Jan04","19"
"38308","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Jan04","19"
"38308","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Jan04","19"
"38380","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"38380","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"38381","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"38381","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"38382","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"38382","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"38500","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"38500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"38500","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"38500","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"38500","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"38500","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"38500","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"38500","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"38500","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"38500","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"38500","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"38500","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"38500","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"38500","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"38500","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,1.00,"010",,,
"38505","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"38505","RUC","Hypodermic, IV","SC032","needle, biopsy for breast-prostate core sample","item",28.42,1.00,,"000",,,
"38505","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"38505","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"38505","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"38505","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"38505","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"38505","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"38510","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"38510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"38510","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"38510","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"38510","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"38510","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"38510","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"38510","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"38510","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"38510","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"38510","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"38510","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"38510","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"38510","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"38510","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"38510","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"38510","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"38510","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,1.00,"010",,,
"38510","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"38510","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"010",,,
"38520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"38520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"38525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"38525","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"38530","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38542","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr08","ss"
"38542","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"38550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"38550","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"38555","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38562","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"38562","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38564","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"38564","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"38570","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"010",,,
"38570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"010",,,
"38570","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"38570","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"38571","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"010",,,
"38571","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"010",,,
"38571","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"38571","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"38572","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"010",,,
"38572","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"010",,,
"38572","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"38572","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"38589","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"38700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"38700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"38720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"38720","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"38724","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"38724","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"38740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"38740","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"38745","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"38745","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"38746","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 8"
"38747","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"38760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"38760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"38765","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"38765","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"38765","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,1.00,"090",,,
"38765","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,,1.00,"090",,,
"38765","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"38765","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,,
"38765","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"38765","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,5.00,"090",,,
"38765","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"38765","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,60.00,"090",,,
"38765","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,6.00,"090",,,
"38770","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"38770","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"38780","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"38780","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"38790","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,,"000",,,
"38790","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"38790","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"38790","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,,
"38790","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,,
"38790","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"38790","RUC","Gown, Drape","SB026","gown, patient","item",0.53,3.00,,"000",,,
"38790","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC041","needle, arterial (Seldinger)","item",5.17,1.00,0.00,"000",,,
"38790","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"000",,,
"38790","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,3.00,,"000",,,
"38790","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,,"000",,,
"38790","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,,"000",,,
"38790","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,,
"38790","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,,
"38790","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"38790","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,,"000",,,
"38790","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"000",,,
"38790","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,,
"38790","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"38790","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,,
"38792","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"38794","RUC","NO DETAILS","SX004","CODE NOT COVERED",,,,,"090",,,
"38999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"39000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"39000","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"39010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"39010","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"39200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"39200","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"39220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"39220","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"39400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"39400","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"39499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"39501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"39501","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"39503","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"39503","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"39540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"39540","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"39541","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"39541","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"39545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"39545","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"39560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"39560","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","39501",,
"39561","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"39561","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","39502",,
"39599","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"40490","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,,
"40490","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"40490","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"000",,,
"40490","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"40490","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"40490","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,,
"40490","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"000",,,
"40490","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"000",,,
"40490","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,,
"40490","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,,
"40490","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,,
"40490","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,,
"40490","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,,
"40490","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"40490","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"000",,,
"40490","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"000",,,
"40490","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"40490","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"40490","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,,
"40500","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"40500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40500","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40500","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40500","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40500","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40500","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40500","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40500","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"40510","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40510","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40510","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40510","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40510","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40510","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40510","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40510","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"40520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40520","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40520","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40520","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40520","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40520","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40520","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40520","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"40525","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40525","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"40525","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"40527","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"40527","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40527","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"40527","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"40530","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"40530","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40530","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40530","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40530","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40530","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40530","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40530","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40530","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"40650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40650","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40650","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40650","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40650","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40650","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40650","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40650","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"40652","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40652","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40652","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40652","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40652","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40652","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40652","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40652","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Aug03","6"
"40654","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40654","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Aug03","6"
"40654","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"090",,"Aug03","6"
"40654","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"40654","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Aug03","6"
"40654","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"090",,"Aug03","6"
"40654","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Aug03","6"
"40654","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Aug03","6"
"40700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"40700","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40700","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"40700","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"40701","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"40701","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40701","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"40701","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"40702","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"40702","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40702","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"40702","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"40720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"40720","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40720","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"40720","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"40761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"40761","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"40761","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"40761","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"40799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"40800","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar03","9"
"40800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40800","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40800","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40800","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40800","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40800","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar03","9"
"40800","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40800","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar03","9"
"40801","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40801","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40801","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40801","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40801","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40801","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar03","9"
"40801","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40801","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar03","9"
"40804","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40804","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40804","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40804","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40804","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40804","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar03","9"
"40804","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40804","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar03","9"
"40805","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40805","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40805","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40805","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40805","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40805","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar03","9"
"40805","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40805","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40806","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"000",,"Mar03","9"
"40806","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"000",,"Mar03","9"
"40806","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","9"
"40806","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Mar03","9"
"40808","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","9"
"40808","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40808","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40808","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40808","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40808","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40808","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40808","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","9"
"40810","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40810","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40810","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40810","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40810","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40810","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40810","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar03","9"
"40812","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40812","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40812","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40812","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40812","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40812","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40812","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"40814","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","9"
"40814","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"40814","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"40814","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"40814","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"Mar03","9"
"40814","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"40814","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"40814","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"40814","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","9"
"40816","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"40816","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"40816","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"40816","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"Mar03","9"
"40816","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"40816","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"40816","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"40816","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","9"
"40818","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"40818","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"40818","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"40818","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"Mar03","9"
"40818","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"40818","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"40818","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"40818","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","9"
"40819","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"40819","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"40819","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"40819","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"Mar03","9"
"40819","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"40819","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"40819","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"40819","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"40820","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,2.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","J"
"40820","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Mar04","J"
"40820","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","J"
"40820","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,14.00,12.00,"010",,"Mar04","J"
"40820","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Mar04","J"
"40820","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar04","J"
"40820","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"010",,"Mar04","J"
"40820","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","J"
"40830","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Mar03","9"
"40830","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40830","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40830","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40830","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40830","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40830","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40830","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar03","9"
"40830","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,"Mar03","9"
"40831","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"40831","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"40831","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"40831","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"40831","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"40831","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"40831","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar03","9"
"40831","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"40840","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"40840","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Cutters, Closures, Cautery","SF051","suture, polyester, 0 to 3-0 (Mersilene)","item",3.89,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"40840","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"40842","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"40842","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Cutters, Closures, Cautery","SF051","suture, polyester, 0 to 3-0 (Mersilene)","item",3.89,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"40842","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"40843","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"40843","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"090",,"Aug03","6"
"40843","RUC","Cutters, Closures, Cautery","SF051","suture, polyester, 0 to 3-0 (Mersilene)","item",3.89,4.00,0.00,"090",,"Aug03","6"
"40843","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,2.00,0.00,"090",,"Aug03","6"
"40843","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"40844","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"40844","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"090",,"Aug03","6"
"40844","RUC","Cutters, Closures, Cautery","SF051","suture, polyester, 0 to 3-0 (Mersilene)","item",3.89,4.00,0.00,"090",,"Aug03","6"
"40844","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,12.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"40844","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"40845","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,6.00,5.00,"090",,"Aug03","6"
"40845","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,4.00,0.00,"090",,"Aug03","6"
"40845","RUC","Cutters, Closures, Cautery","SF051","suture, polyester, 0 to 3-0 (Mersilene)","item",3.89,4.00,0.00,"090",,"Aug03","6"
"40845","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,12.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"40845","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"40899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"41000","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"41000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"41000","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"41000","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"41000","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"41000","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"41000","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"41000","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"41000","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"41000","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"41000","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"41000","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"41000","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"41000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"41005","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Aug03","6"
"41005","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Aug03","6"
"41005","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Aug03","6"
"41005","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Aug03","6"
"41005","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Aug03","6"
"41005","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Aug03","6"
"41006","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"41006","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41006","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41006","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41006","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41006","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"41007","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41007","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41007","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41007","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41007","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"41008","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41008","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41008","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41008","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41008","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"41009","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41009","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41009","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41009","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41009","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41010","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","J"
"41010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar04","J"
"41010","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar04","J"
"41010","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar04","J"
"41010","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Mar04","J"
"41010","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar04","J"
"41010","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar04","J"
"41010","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar04","J"
"41010","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"010",,"Mar04","J"
"41010","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar04","J"
"41010","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","J"
"41015","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"41015","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,2.00,2.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,2.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,6.00,4.00,"090",,"Aug03","6"
"41015","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41015","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,0.00,2.00,"090",,"Aug03","6"
"41015","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41015","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41015","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41015","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,5.00,"090",,"Aug03","6"
"41016","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"41016","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,2.00,2.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,2.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,6.00,4.00,"090",,"Aug03","6"
"41016","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41016","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,0.00,2.00,"090",,"Aug03","6"
"41016","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41016","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41016","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41016","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,5.00,"090",,"Aug03","6"
"41017","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"41017","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,2.00,2.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,2.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,6.00,4.00,"090",,"Aug03","6"
"41017","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41017","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,0.00,2.00,"090",,"Aug03","6"
"41017","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41017","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41017","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41017","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,5.00,"090",,"Aug03","6"
"41018","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"41018","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,2.00,2.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,2.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,6.00,4.00,"090",,"Aug03","6"
"41018","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41018","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,0.00,2.00,"090",,"Aug03","6"
"41018","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41018","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41018","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41018","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,5.00,"090",,"Aug03","6"
"41019","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08","28"
"41100","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"41100","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"010",,,
"41100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"010",,,
"41100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"41100","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,1.00,"010",,,
"41100","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,1.00,"010",,,
"41100","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,1.00,"010",,,
"41100","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,,
"41100","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"41100","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,,
"41100","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"010",,,
"41100","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"41100","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"41100","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"41100","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"41100","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"41100","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"41100","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"41100","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"41100","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"41100","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,1.00,"010",,,
"41100","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"41100","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,,"010",,,
"41100","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"41100","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,1.00,"010",,,
"41100","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,,"010",,,
"41100","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"41105","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"41105","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"010",,,
"41105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"010",,,
"41105","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"41105","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,1.00,"010",,,
"41105","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,1.00,"010",,,
"41105","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,1.00,"010",,,
"41105","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,,
"41105","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"41105","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,,
"41105","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"010",,,
"41105","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"41105","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"41105","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"41105","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"41105","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"41105","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"41105","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"41105","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"41105","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"41105","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,1.00,"010",,,
"41105","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"41105","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,,"010",,,
"41105","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"41105","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,1.00,"010",,,
"41105","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,,"010",,,
"41105","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"41108","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"41108","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"010",,,
"41108","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"010",,,
"41108","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"41108","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,1.00,"010",,,
"41108","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,1.00,"010",,,
"41108","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,1.00,"010",,,
"41108","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"010",,,
"41108","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"41108","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,,
"41108","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"010",,,
"41108","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"41108","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"41108","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"41108","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"41108","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"41108","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"41108","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"41108","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"41108","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"41108","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,1.00,"010",,,
"41108","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"41108","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,,"010",,,
"41108","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"41108","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,1.00,"010",,,
"41108","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,,"010",,,
"41108","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"010",,,
"41110","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","9"
"41110","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar03","9"
"41110","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar03","9"
"41110","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar03","9"
"41110","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar03","9"
"41110","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","9"
"41110","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","9"
"41110","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar03","9"
"41112","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","9"
"41112","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"41112","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"41112","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"41112","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"Mar03","9"
"41112","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"41112","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"41112","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"41112","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","9"
"41113","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar03","9"
"41113","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar03","9"
"41113","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar03","9"
"41113","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,6.00,0.00,"090",,"Mar03","9"
"41113","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar03","9"
"41113","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","9"
"41113","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar03","9"
"41113","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","9"
"41114","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar03","9"
"41114","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar03","9"
"41114","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar03","9"
"41114","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.50,"090",,"Mar03","9"
"41114","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.50,"090",,"Mar03","9"
"41115","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","J"
"41115","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Mar04","J"
"41115","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Mar04","J"
"41115","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Mar04","J"
"41115","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Mar04","J"
"41115","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"010",,"Mar04","J"
"41115","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar04","J"
"41115","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"010",,"Mar04","J"
"41115","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Mar04","J"
"41115","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","J"
"41115","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Mar04","J"
"41116","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Mar04","J"
"41116","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,1.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Mar04","J"
"41116","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"090",,"Mar04","J"
"41116","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"090",,"Mar04","J"
"41116","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Mar04","J"
"41116","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"090",,"Mar04","J"
"41116","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Mar04","J"
"41116","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"090",,"Mar04","J"
"41116","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar04","J"
"41116","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","J"
"41116","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar04","J"
"41120","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"41120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"41120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"41120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"41120","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"41120","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"41120","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"41120","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"41120","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"41120","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41120","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41120","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41130","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"41130","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"41130","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"41130","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"41130","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"41130","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"41130","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"41130","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"41130","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"41130","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41130","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41130","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41135","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"41135","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"41135","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"41135","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"41135","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"41135","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"41135","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"41135","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"41135","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"41135","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"41135","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41135","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41135","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"41135","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41140","RUC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"41140","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"41140","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"41140","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"41140","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"41140","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"41140","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"41140","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"41140","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"41140","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.00,"090",,"Mar04","I"
"41140","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"41140","RUC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"41140","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41140","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41140","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"41140","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41145","RUC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Mar04","I"
"41145","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,5.00,"090",,"Mar04","I"
"41145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"41145","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"41145","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,5.50,"090",,"Mar04","I"
"41145","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.50,"090",,"Mar04","I"
"41145","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.50,"090",,"Mar04","I"
"41145","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,6.50,"090",,"Mar04","I"
"41145","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.50,"090",,"Mar04","I"
"41145","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,6.50,"090",,"Mar04","I"
"41145","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,6.50,"090",,"Mar04","I"
"41145","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.50,"090",,"Mar04","I"
"41145","RUC","Accessory, Procedure","SD209","tracheostomy tube","item",20.93,,1.00,"090",,"Mar04","I"
"41145","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,20.00,"090",,"Mar04","I"
"41145","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,10.00,"090",,"Mar04","I"
"41145","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"41145","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,5.00,"090",,"Mar04","I"
"41150","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"41150","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"41150","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"41150","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"41150","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"41150","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"41150","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"41150","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"41150","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.00,"090",,"Mar04","I"
"41150","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"41150","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41150","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41150","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"41150","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41153","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41153","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"41153","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"41153","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"41153","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"41153","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"41153","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"41153","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"41153","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"41153","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.00,"090",,"Mar04","I"
"41153","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"41153","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41153","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41153","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"41153","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41155","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Mar04","I"
"41155","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Mar04","I"
"41155","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"41155","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"41155","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"41155","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"41155","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"41155","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"41155","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"41155","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.00,"090",,"Mar04","I"
"41155","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"41155","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Mar04","I"
"41155","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Mar04","I"
"41155","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"41155","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Mar04","I"
"41250","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"41250","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"41250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"41250","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010","Feb05","Feb05",
"41250","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"010",,"Feb05",
"41250","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Feb05",
"41250","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,"Feb05",
"41250","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,"Feb05",
"41250","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"41250","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"41250","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"41250","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Feb05",
"41250","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"010","Feb05","Feb05",
"41250","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010","Feb05","Feb05",
"41250","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Feb05",
"41250","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"41250","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Feb05",
"41250","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"41251","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"41251","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"41251","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"41251","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010","Feb05","Feb05",
"41251","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"010",,"Feb05",
"41251","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Feb05",
"41251","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,"Feb05",
"41251","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,"Feb05",
"41251","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"41251","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"41251","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"41251","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Feb05",
"41251","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"010","Feb05","Feb05",
"41251","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010","Feb05","Feb05",
"41251","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Feb05",
"41251","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"41251","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Feb05",
"41251","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"41252","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"41252","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"41252","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"41252","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010","Feb05","Feb05",
"41252","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"010",,"Feb05",
"41252","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Feb05",
"41252","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,"Feb05",
"41252","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,"Feb05",
"41252","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"41252","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"41252","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"41252","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Feb05",
"41252","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"010","Feb05","Feb05",
"41252","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010","Feb05","Feb05",
"41252","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Feb05",
"41252","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"41252","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Feb05",
"41252","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"41500","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"41500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"41500","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"41500","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"41500","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"41500","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"41500","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"41500","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,2.00,"090",,"Mar04","I"
"41500","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,2.00,"090",,"Mar04","I"
"41500","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"41500","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"41500","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"41500","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"41510","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"41510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"41510","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"41510","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"41510","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"41510","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"41510","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"41510","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,2.00,"090",,"Mar04","I"
"41510","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,2.00,"090",,"Mar04","I"
"41510","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"090",,"Mar04","I"
"41510","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"41510","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"41510","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"41512","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"CPT09","10"
"41512","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","10"
"41512","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","10"
"41512","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"CPT09","10"
"41512","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"CPT09","10"
"41512","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"CPT09","10"
"41512","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,3.00,"090",,"CPT09","10"
"41512","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,,3.00,"090",,"CPT09","10"
"41512","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"CPT09","10"
"41512","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"CPT09","10"
"41512","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,"CPT09","10"
"41512","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"CPT09","10"
"41512","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"CPT09","10"
"41512","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,3.00,"090",,"CPT09","10"
"41520","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar04","J"
"41520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"090",,"Mar04","J"
"41520","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"090",,"Mar04","J"
"41520","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"090",,"Mar04","J"
"41520","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Mar04","J"
"41520","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,6.00,0.00,"090",,"Mar04","J"
"41520","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Mar04","J"
"41520","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Mar04","J"
"41520","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"090",,"Mar04","J"
"41520","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"Mar04","J"
"41520","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","J"
"41530","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"CPT09","11"
"41530","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"CPT09","11"
"41530","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"010",,"CPT09","11"
"41530","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"CPT09","11"
"41530","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,2.00,0.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD109","probe, radiofrequency, 3 array (StarBurstSDE)","item",1995.00,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, Rx","SH090","sodium bicarbonate 8.4% inj w-needle (1ml uou)","item",2.20,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,3.00,2.00,"010",,"CPT09","11"
"41530","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,7.00,2.00,"010",,"CPT09","11"
"41530","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"010",,"CPT09","11"
"41530","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,1.00,0.00,"010",,"CPT09","11"
"41599","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"41800","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Sep04",
"41800","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"41800","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,1.00,"010",,"Sep04",
"41800","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41800","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,4.00,2.00,"010","Sep04","Sep04",
"41800","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"010","Sep04","Sep04",
"41800","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41800","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,2.00,1.00,"010",,"Sep04",
"41800","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41800","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41800","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,1.00,"010",,"Sep04",
"41800","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Sep04",
"41800","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"Sep04",
"41800","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Sep04",
"41800","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41800","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41800","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41800","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41800","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010",,"Sep04",
"41800","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"41800","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41800","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41800","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,3.00,0.00,"010",,"Sep04",
"41800","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Sep04",
"41800","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,6.00,4.00,"010",,"Sep04",
"41800","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41800","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41800","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,1.00,"010",,"Sep04",
"41800","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41800","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Sep04",
"41800","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010","88170","Sep04",
"41805","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Sep04",
"41805","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"41805","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,3.00,2.00,"010",,"Sep04",
"41805","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41805","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,6.00,4.00,"010","Sep04","Sep04",
"41805","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,6.00,4.00,"010","Sep04","Sep04",
"41805","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41805","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,3.00,2.00,"010",,"Sep04",
"41805","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41805","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41805","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,3.00,2.00,"010",,"Sep04",
"41805","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"010",,"Sep04",
"41805","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"010",,"Sep04",
"41805","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"010",,"Sep04",
"41805","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41805","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41805","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41805","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41805","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"41805","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41805","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41805","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,6.00,4.00,"010",,"Sep04",
"41805","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41805","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41805","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,3.00,2.00,"010",,"Sep04",
"41805","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41805","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010","88170","Sep04",
"41806","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41806","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Sep04",
"41806","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"41806","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,3.00,2.00,"010",,"Sep04",
"41806","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41806","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,6.00,4.00,"010","Sep04","Sep04",
"41806","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,6.00,4.00,"010","Sep04","Sep04",
"41806","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41806","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,3.00,2.00,"010",,"Sep04",
"41806","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41806","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41806","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,3.00,2.00,"010",,"Sep04",
"41806","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"010",,"Sep04",
"41806","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"010",,"Sep04",
"41806","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"010",,"Sep04",
"41806","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41806","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41806","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41806","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41806","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"41806","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41806","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41806","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,6.00,4.00,"010",,"Sep04",
"41806","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41806","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41806","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,3.00,2.00,"010",,"Sep04",
"41806","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,3.00,2.00,"010",,"Sep04",
"41806","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41806","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010","88170","Sep04",
"41820","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"41821","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"41822","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41822","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Sep04",
"41822","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"41822","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,0.00,"010",,"Sep04",
"41822","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41822","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010","Sep04","Sep04",
"41822","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010","Sep04","Sep04",
"41822","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41822","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Sep04",
"41822","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41822","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41822","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Sep04",
"41822","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Sep04",
"41822","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Sep04",
"41822","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Sep04",
"41822","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41822","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41822","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41822","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41822","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Sep04",
"41822","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41822","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41822","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"010",,"Sep04",
"41822","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41822","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41822","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Sep04",
"41822","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41823","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"41823","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41823","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41823","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41823","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41823","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41825","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Sep04",
"41825","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"41825","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,0.00,"010",,"Sep04",
"41825","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41825","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010","Sep04","Sep04",
"41825","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010","Sep04","Sep04",
"41825","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41825","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Sep04",
"41825","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41825","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41825","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Sep04",
"41825","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Sep04",
"41825","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Sep04",
"41825","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Sep04",
"41825","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41825","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41825","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41825","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41825","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"41825","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41825","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41825","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"010",,"Sep04",
"41825","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41825","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41825","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Sep04",
"41825","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41825","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010","88170","Sep04",
"41826","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41826","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,"Sep04",
"41826","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,2.00,"010",,"Sep04",
"41826","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,1.00,"010",,"Sep04",
"41826","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41826","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010","Sep04","Sep04",
"41826","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"010","Sep04","Sep04",
"41826","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41826","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Sep04",
"41826","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41826","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41826","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Sep04",
"41826","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"010",,"Sep04",
"41826","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"010",,"Sep04",
"41826","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"010",,"Sep04",
"41826","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41826","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41826","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41826","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41826","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Sep04",
"41826","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41826","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41826","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"010",,"Sep04",
"41826","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41826","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41826","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Sep04",
"41826","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41826","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010","88170","Sep04",
"41827","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"41827","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41827","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41827","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41827","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41827","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Aug03","6"
"41828","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41828","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Sep04",
"41828","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"41828","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Sep04",
"41828","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41828","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010","Sep04","Sep04",
"41828","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010","Sep04","Sep04",
"41828","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41828","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Sep04",
"41828","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41828","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41828","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Sep04",
"41828","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Sep04",
"41828","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Sep04",
"41828","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Sep04",
"41828","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41828","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Sep04",
"41828","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41828","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41828","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41828","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41828","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Sep04",
"41828","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41830","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Sep04",
"41830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,"Sep04",
"41830","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,2.00,"010",,"Sep04",
"41830","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,1.00,"010",,"Sep04",
"41830","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010","Sep04","Sep04",
"41830","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010","Sep04","Sep04",
"41830","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"010","Sep04","Sep04",
"41830","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010","Sep04","Sep04",
"41830","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Sep04",
"41830","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"010",,"Sep04",
"41830","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Sep04",
"41830","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Sep04",
"41830","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,3.00,2.00,"010",,"Sep04",
"41830","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,3.00,2.00,"010",,"Sep04",
"41830","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,3.00,2.00,"010",,"Sep04",
"41830","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Sep04",
"41830","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Sep04",
"41830","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Sep04",
"41830","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"41830","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"41830","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"010",,"Sep04",
"41830","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"41830","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"010",,"Sep04",
"41830","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"010",,"Sep04",
"41830","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Sep04",
"41830","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Sep04",
"41830","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"010",,"Sep04",
"41830","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"41830","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010","88170","Sep04",
"41850","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"41870","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"000",,,
"41872","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"41872","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Cutters, Closures, Cautery","SF050","suture, plain, gut, 2-0 to 6-0","item",4.26,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41872","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41872","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41872","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41872","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"41874","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"41874","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Aug03","6"
"41874","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"41874","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"41874","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"41899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"42000","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42000","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42000","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42000","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42000","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42000","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42000","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42000","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42000","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42000","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42000","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42000","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42100","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"42100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"010",,"Feb05",
"42100","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Feb05",
"42100","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Feb05",
"42100","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Feb05",
"42100","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"42100","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"42100","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"42100","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Feb05",
"42100","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"42100","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Feb05",
"42100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"42104","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"42104","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"42104","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"42104","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"010",,"Feb05",
"42104","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Feb05",
"42104","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,"Feb05",
"42104","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,"Feb05",
"42104","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"42104","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"42104","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"42104","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Feb05",
"42104","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Feb05",
"42104","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"42104","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Feb05",
"42104","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"42106","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"42106","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"42106","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"42106","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"Feb05",
"42106","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"010",,"Feb05",
"42106","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Feb05",
"42106","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,"Feb05",
"42106","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,"Feb05",
"42106","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"Feb05",
"42106","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"42106","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"42106","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"42106","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Feb05",
"42106","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Feb05",
"42106","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Feb05",
"42106","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"42106","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010","Feb05","Feb05",
"42106","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010","Feb05","Feb05",
"42107","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Feb05",
"42107","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Feb05",
"42107","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Feb05",
"42107","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Feb05",
"42107","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Feb05",
"42107","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,1.00,"090",,"Feb05",
"42107","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Feb05",
"42107","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Feb05",
"42107","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"090",,"Feb05",
"42107","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"090",,"Feb05",
"42107","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Feb05",
"42107","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Feb05",
"42107","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Feb05",
"42107","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Feb05",
"42107","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Feb05",
"42107","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,6.00,0.00,"090",,"Feb05",
"42107","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Feb05",
"42107","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Feb05",
"42107","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Feb05",
"42107","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Feb05",
"42120","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"42120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"42120","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"42120","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42120","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"42120","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,3.00,"090",,"Mar04","I"
"42120","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"42120","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"42120","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"42120","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"42140","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","6"
"42140","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42140","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42140","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,6.00,0.00,"090",,"Aug03","6"
"42140","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42140","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42140","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr08","ss"
"42145","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42145","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"42145","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42145","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"42145","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"42145","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"42145","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42145","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"42145","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42145","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42160","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,"Feb05",
"42160","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"42160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"42160","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,0.00,"010",,"Feb05",
"42160","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"Feb05",
"42160","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,"Feb05",
"42160","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,"Feb05",
"42160","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Feb05",
"42160","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Feb05",
"42160","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Feb05",
"42160","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Feb05",
"42160","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"Feb05",
"42160","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"010",,"Feb05",
"42160","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Feb05",
"42160","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"42180","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"42180","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42180","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42180","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42180","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42180","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42180","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42180","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42180","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42180","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42180","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42180","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"42180","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,,"010",,,
"42180","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42180","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42180","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42180","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42182","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"42182","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42182","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42182","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42182","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42182","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42182","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42182","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42182","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42182","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42182","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42182","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42182","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"42182","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,,"010",,,
"42182","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42182","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42182","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42182","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42200","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42200","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"42200","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42200","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42200","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42200","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"42200","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"42200","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42200","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42205","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42205","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42205","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"42205","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42205","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42205","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42205","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42205","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"42205","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42205","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42210","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42210","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"42210","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42210","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42210","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42210","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"42210","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Mar04","I"
"42210","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"42210","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Mar04","I"
"42215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42215","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42215","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"42215","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42215","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42215","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42215","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar04","I"
"42215","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Mar04","I"
"42215","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42215","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42220","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42220","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,"Mar04","I"
"42220","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42220","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42220","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42220","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42220","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Mar04","I"
"42220","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42220","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42225","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.50,"090",,"Mar04","I"
"42225","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42225","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42225","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"42225","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42225","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"42225","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"42225","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"42225","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar04","I"
"42225","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Mar04","I"
"42225","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42225","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42225","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42225","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42225","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42226","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.50,"090",,"Mar04","I"
"42226","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42226","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42226","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"42226","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42226","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"42226","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"42226","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"42226","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"42226","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42226","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42226","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42226","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42226","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42226","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42227","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42227","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42227","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42227","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"42227","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42227","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"42227","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"42227","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"42227","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"42227","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42227","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42227","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42227","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42227","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42227","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42235","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42235","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42235","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42235","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,4.00,"090",,"Mar04","I"
"42235","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42235","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Mar04","I"
"42235","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Mar04","I"
"42235","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.00,"090",,"Mar04","I"
"42235","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Mar04","I"
"42235","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42235","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42235","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42235","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42235","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42235","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42260","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"Aug03","6"
"42260","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42260","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,8.00,0.00,"090",,"Aug03","6"
"42260","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42260","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"Aug03","6"
"42280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,,,"Sep04",
"42280","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"010",,"Sep04",
"42280","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"010",,"Sep04",
"42280","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"010",,"Sep04",
"42280","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Sep04",
"42280","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Sep04",
"42280","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Sep04",
"42280","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"010",,"Sep04",
"42280","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"010",,"Sep04",
"42280","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Sep04",
"42280","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"010",,"Sep04",
"42280","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Sep04",
"42280","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Sep04",
"42280","RUC","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,0.00,"010",,"Sep04",
"42280","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,4.00,0.00,"010",,"Sep04",
"42280","RUC","Lab","SL046","dental impression tray","item",0.44,1.00,0.00,"010",,"Sep04",
"42280","RUC","Lab","SL047","dental stone powder","lb",1.59,0.75,0.00,"010",,"Sep04",
"42280","RUC","Lab","SL081","impression material, alginate (dental)","lb",7.50,0.18,0.00,"010",,"Sep04",
"42280","RUC","Lab","SL150","wax, bite registration wafer","item",0.32,1.00,0.00,"010",,"Sep04",
"42280","RUC","Lab","SL202","tissue conditioner, coesoft (0.5 oz, each, liquid and powder)","item",8.54,1.00,0.00,"010",,"Sep04",
"42281","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42281","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42281","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42281","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42281","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42281","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42281","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42281","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"42281","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,,"010",,,
"42281","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42281","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42281","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42281","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"42300","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"42300","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42300","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42300","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42300","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42300","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42300","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42300","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42300","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"42300","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"42300","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42300","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"42300","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"42305","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42310","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42310","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42310","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42310","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42310","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42310","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42310","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42310","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42310","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42310","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42320","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"42320","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42320","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42320","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42320","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42320","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42320","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42320","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42320","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42320","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42320","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42320","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,,"010",,,
"42320","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"42320","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42320","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"42320","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42320","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42330","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42330","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42330","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42330","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42330","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42330","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42330","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42330","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42330","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42330","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42330","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42330","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42330","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42330","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42330","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42335","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"42335","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42335","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42335","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42335","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42335","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"42340","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42340","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42340","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42340","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42340","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"42340","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"090",,"Aug03","6"
"42400","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"42400","RUC","Hypodermic, IV","SC032","needle, biopsy for breast-prostate core sample","item",28.42,1.00,,"000",,,
"42400","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"42400","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"42400","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,,
"42400","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"42400","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"42400","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"42405","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"42405","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42405","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"42405","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42405","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42405","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42405","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42405","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"42405","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"42405","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"42405","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"42405","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"42405","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"42405","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42405","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,1.00,"010",,,
"42408","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42408","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42408","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42408","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42408","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42409","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Wound Care, Dressings","SG064","packing, gauze w-iodoform 0.25-0.5in (5 yd uou)","item",4.08,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42409","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42409","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42409","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,2.00,0.00,"090",,"Aug03","6"
"42410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42410","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Apr08","df"
"42415","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42420","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42425","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42426","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42426","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Feb08","ss"
"42440","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42450","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","I"
"42450","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","I"
"42450","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"090",,"Mar04","I"
"42450","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,2.00,"090",,"Mar04","I"
"42450","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,2.00,"090",,"Mar04","I"
"42450","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,2.00,"090",,"Mar04","I"
"42450","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Mar04","I"
"42450","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"090",,"Mar04","I"
"42450","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"090",,"Mar04","I"
"42450","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar04","I"
"42450","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Mar04","I"
"42450","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar04","I"
"42450","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"42500","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","I"
"42500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","I"
"42500","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"090",,"Mar04","I"
"42500","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,2.00,"090",,"Mar04","I"
"42500","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,2.00,"090",,"Mar04","I"
"42500","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,2.00,"090",,"Mar04","I"
"42500","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Mar04","I"
"42500","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"090",,"Mar04","I"
"42500","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"090",,"Mar04","I"
"42500","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar04","I"
"42500","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Mar04","I"
"42500","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar04","I"
"42500","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"42505","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar04","I"
"42505","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","I"
"42505","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,1.00,"090",,"Mar04","I"
"42505","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,2.00,"090",,"Mar04","I"
"42505","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,2.00,"090",,"Mar04","I"
"42505","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,2.00,"090",,"Mar04","I"
"42505","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Mar04","I"
"42505","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"090",,"Mar04","I"
"42505","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"090",,"Mar04","I"
"42505","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar04","I"
"42505","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Mar04","I"
"42505","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar04","I"
"42505","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","I"
"42507","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42507","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42507","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"42507","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"42507","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"42507","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42507","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"42507","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,"Mar04","I"
"42508","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42508","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42508","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.50,"090",,"Mar04","I"
"42508","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.50,"090",,"Mar04","I"
"42508","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.50,"090",,"Mar04","I"
"42508","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.50,"090",,"Mar04","I"
"42508","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar04","I"
"42508","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.50,"090",,"Mar04","I"
"42508","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.50,"090",,"Mar04","I"
"42508","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42509","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42509","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42509","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.50,"090",,"Mar04","I"
"42509","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.50,"090",,"Mar04","I"
"42509","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.50,"090",,"Mar04","I"
"42509","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.50,"090",,"Mar04","I"
"42509","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar04","I"
"42509","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.50,"090",,"Mar04","I"
"42509","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.50,"090",,"Mar04","I"
"42509","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42510","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42510","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"42510","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"42510","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"42510","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42510","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"42510","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,"Mar04","I"
"42550","RUC","Hypodermic, IV","SC047","sialography infusion unit","item",24.00,1.00,0.00,"000",,"Jan04","7"
"42600","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Aug03","6"
"42600","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42600","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42600","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42600","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Aug03","6"
"42650","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"42650","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"42650","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"42650","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"000",,,
"42650","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"42650","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"42660","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"42660","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,,
"42660","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"42660","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"42660","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"000",,,
"42660","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"42660","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"42665","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Hypodermic, IV","SC037","needle, dental","item",0.08,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,0.00,"090",,"Aug03","6"
"42665","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Pharmacy, Rx","SH023","chlorhexidine 0.12% (Peridex)","oz",0.40,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Aug03","6"
"42665","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,0.00,"090",,"Aug03","6"
"42665","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Aug03","6"
"42665","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Aug03","6"
"42699","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"42700","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42700","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42700","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"42700","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,,
"42700","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"42700","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42700","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42700","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42700","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42700","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42700","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42700","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42700","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42720","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42720","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"010",,,
"42720","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"42720","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"010",,,
"42720","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"42720","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42720","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42720","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42720","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42720","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42720","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42720","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"42720","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42725","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Mar04","I"
"42725","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42725","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42725","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42725","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42725","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"42725","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"42725","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"Mar04","I"
"42725","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42800","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42800","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42800","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42800","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42800","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42800","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42800","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42800","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"42800","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"42800","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"42800","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42802","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42802","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42802","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42802","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42802","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42802","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42802","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42802","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42802","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"42802","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"42802","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"010",,,
"42802","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42802","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,2.00,"010",,,
"42802","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"010",,,
"42804","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42804","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42804","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42804","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42804","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42804","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42804","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42804","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42804","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"42804","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"42804","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"010",,,
"42804","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42804","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,2.00,"010",,,
"42804","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"010",,,
"42806","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42806","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42806","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42806","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42806","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42806","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42806","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42806","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42806","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"42806","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"010",,,
"42806","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"010",,,
"42806","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42806","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,2.00,"010",,,
"42806","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"010",,,
"42808","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42808","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42808","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42808","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42808","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42808","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"42808","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"42808","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"42808","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42808","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42808","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42809","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"42809","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"42809","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"42809","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,,"010",,,
"42809","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"42809","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"42809","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"010",,,
"42809","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"42810","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Jan04","21"
"42810","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"42810","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"42810","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"42810","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,3.00,2.00,"090",,"Jan04","21"
"42810","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Jan04","21"
"42810","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"Jan04","21"
"42810","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Jan04","21"
"42810","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"42810","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Jan04","21"
"42815","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"42815","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42815","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.50,"090",,"Mar04","I"
"42815","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.50,"090",,"Mar04","I"
"42815","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.50,"090",,"Mar04","I"
"42815","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.50,"090",,"Mar04","I"
"42815","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Mar04","I"
"42815","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.50,"090",,"Mar04","I"
"42815","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,2.50,"090",,"Mar04","I"
"42815","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,5.00,"090",,"Mar04","I"
"42820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Mar04","I"
"42820","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42821","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Mar04","I"
"42821","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"42825","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42826","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Mar04","I"
"42826","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Mar04","I"
"42830","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"42831","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42835","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Mar04","I"
"42835","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42836","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Mar04","I"
"42836","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42842","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"42842","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42842","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"42842","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"42842","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"42842","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"42842","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42842","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"42842","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,3.00,"090",,"Mar04","I"
"42842","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"42842","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42842","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42842","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42844","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42844","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42844","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42844","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"42844","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"42844","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"42844","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"42844","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"42844","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"42844","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42844","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"42844","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"42844","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"42845","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42845","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42845","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"42845","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"42845","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"42845","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"42845","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"42845","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.00,"090",,"Mar04","I"
"42845","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"42845","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"42845","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"42845","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"42860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Mar04","I"
"42860","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"42870","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"42870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"42870","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"42870","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.50,"090",,"Mar04","I"
"42870","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.50,"090",,"Mar04","I"
"42870","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,2.50,"090",,"Mar04","I"
"42870","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Mar04","I"
"42870","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,2.50,"090",,"Mar04","I"
"42870","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,2.50,"090",,"Mar04","I"
"42870","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.50,"090",,"Mar04","I"
"42870","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42870","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42870","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42890","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"42890","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42890","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"42890","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"42890","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"42890","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"42890","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"42890","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"42890","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"42890","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42890","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42890","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42890","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42892","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42892","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"42892","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42892","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42892","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"42892","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"42892","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"42892","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"42892","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"42892","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"42892","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42892","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"42892","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"42892","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"42892","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"42894","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42894","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","I"
"42894","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42894","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Mar04","I"
"42894","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Mar04","I"
"42894","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Mar04","I"
"42894","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,5.00,"090",,"Mar04","I"
"42894","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Mar04","I"
"42894","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,5.00,"090",,"Mar04","I"
"42894","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,5.00,"090",,"Mar04","I"
"42894","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Mar04","I"
"42894","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"42894","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"42894","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"42894","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"42900","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,1.00,"010",,,
"42900","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"42900","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"42900","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"42900","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"42900","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,,1.00,"010",,,
"42900","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"42950","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"42950","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","I"
"42950","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"42950","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.50,"090",,"Mar04","I"
"42950","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.50,"090",,"Mar04","I"
"42950","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.50,"090",,"Mar04","I"
"42950","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Mar04","I"
"42950","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.50,"090",,"Mar04","I"
"42950","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,3.50,"090",,"Mar04","I"
"42950","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.50,"090",,"Mar04","I"
"42950","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42950","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42950","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42953","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.00,"090",,"Mar04","I"
"42953","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","I"
"42953","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42953","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Mar04","I"
"42953","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Mar04","I"
"42953","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Mar04","I"
"42953","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,4.00,"090",,"Mar04","I"
"42953","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Mar04","I"
"42953","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,4.00,"090",,"Mar04","I"
"42953","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,"Mar04","I"
"42953","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Mar04","I"
"42953","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,12.00,"090",,"Mar04","I"
"42953","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,6.00,"090",,"Mar04","I"
"42953","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"42953","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,"Mar04","I"
"42955","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,2.00,"090",,"Mar04","I"
"42955","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42955","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","I"
"42955","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Mar04","I"
"42955","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,"Mar04","I"
"42955","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,3.00,"090",,"Mar04","I"
"42955","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,3.00,"090",,"Mar04","I"
"42955","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Mar04","I"
"42955","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,3.00,"090",,"Mar04","I"
"42955","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,3.00,"090",,"Mar04","I"
"42955","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,3.00,"090",,"Mar04","I"
"42955","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Mar04","I"
"42955","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,4.00,"090",,"Mar04","I"
"42955","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Mar04","I"
"42955","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,2.00,"090",,"Mar04","I"
"42960","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"42960","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,1.00,"010",,,
"42960","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"010",,,
"42960","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,1.00,"010",,,
"42960","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"42960","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,,1.00,"010",,,
"42960","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"42960","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,1.00,"010",,,
"42960","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,1.00,"010",,,
"42961","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"42961","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42961","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42961","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42961","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42961","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"42961","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"42961","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"Mar04","I"
"42961","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42962","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"42962","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42962","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42962","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42962","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42962","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"42962","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"42962","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"Mar04","I"
"42962","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42970","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"42970","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42970","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42970","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42970","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42970","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"42970","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"42970","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"Mar04","I"
"42970","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42971","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"42971","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42971","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42971","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42971","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42971","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"42971","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"42971","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"Mar04","I"
"42971","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42972","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","I"
"42972","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Mar04","I"
"42972","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,1.00,"090",,"Mar04","I"
"42972","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,1.00,"090",,"Mar04","I"
"42972","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,,1.00,"090",,"Mar04","I"
"42972","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Mar04","I"
"42972","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"Mar04","I"
"42972","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"Mar04","I"
"42972","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,10.00,"090",,"Mar04","I"
"42999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"43020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","I"
"43020","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"43030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","I"
"43030","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","I"
"43045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43045","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43100","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43101","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43107","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"43107","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43108","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43108","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"43112","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43113","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43113","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43116","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43116","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43117","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"43117","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43118","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43118","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43121","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"43121","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43122","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"43122","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43123","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43123","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43124","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"43124","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43130","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43135","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43200","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"43200","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"43200","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"43200","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"43200","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"43200","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"43200","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"43200","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43200","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"43200","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"43200","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43200","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43200","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"43200","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43200","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43200","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"43200","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"43200","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"43200","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43200","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"43200","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43200","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"43200","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43200","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"43201","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,0.00,"000",,,
"43201","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","MS"
"43201","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43201","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43201","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"43201","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43201","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43201","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"43201","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,3.00,,"000",,,
"43201","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"000",,,
"43201","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43201","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"000",,,
"43201","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43201","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43201","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43201","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43201","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43201","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"000",,,
"43202","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,,"000",,,
"43202","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43202","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43202","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"43202","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"43202","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"43202","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"43202","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"43202","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"43202","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43202","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"43202","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43202","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"43202","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43202","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"43202","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43202","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"43202","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43202","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"43202","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43202","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43202","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"43202","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"43202","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"43202","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43202","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"43202","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43202","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"43202","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43202","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"43204","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43205","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43215","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43216","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43217","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,,"000",,,
"43217","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43217","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43217","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"43217","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"43217","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"43217","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"43217","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"43217","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"43217","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43217","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"43217","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43217","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"43217","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"43217","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43217","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"43217","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43217","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,,"000",,,
"43217","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"43217","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43217","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43217","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"43217","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"43217","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"43217","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43217","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"43217","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43217","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"43217","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43217","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"43219","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43220","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43226","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43227","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43228","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43231","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43232","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43235","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,,"000",,,
"43235","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43235","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43235","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43235","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"43235","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43235","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43235","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43235","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43235","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43235","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43235","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43235","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"000",,,
"43235","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43235","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43235","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43235","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"43235","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43235","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43236","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,0.00,"000",,,
"43236","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","MS"
"43236","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43236","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43236","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"43236","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43236","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43236","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"43236","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,3.00,,"000",,,
"43236","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"000",,,
"43236","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43236","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"000",,,
"43236","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43236","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43236","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43236","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43236","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43236","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"000",,,
"43237","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43238","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43239","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,,"000",,,
"43239","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43239","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43239","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43239","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"43239","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43239","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43239","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43239","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43239","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43239","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43239","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43239","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"000",,,
"43239","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43239","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43239","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43239","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"43239","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43239","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43240","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43241","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43242","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43243","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43244","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43245","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43246","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43247","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43248","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43249","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43250","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43251","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43255","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43256","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43257","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43258","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43259","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43260","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43261","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43262","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43263","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43264","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43265","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43267","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43268","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43269","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43271","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43272","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43273","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT09","12"
"43279","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","13"
"43279","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT09","13"
"43280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43280","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","43324",,
"43281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","9"
"43281","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","9"
"43282","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT10","9"
"43282","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","9"
"43283","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT11","7"
"43289","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"43300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43300","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43305","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43310","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43312","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"43312","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43313","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"43313","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43314","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"43314","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43320","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43325","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43325","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43327","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","7"
"43327","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43328","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","7"
"43328","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43330","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43330","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43331","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43331","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","7"
"43332","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43333","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","7"
"43333","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43334","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","7"
"43334","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43335","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","7"
"43335","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43336","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,3.00,"090",,"CPT11","7"
"43336","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43337","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,3.00,"090",,"CPT11","7"
"43337","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","7"
"43338","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT11","7"
"43340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43340","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43341","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43341","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43350","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43350","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43351","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43351","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43352","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43352","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43360","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43360","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43361","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43361","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43400","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43401","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43401","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43405","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43410","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43415","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43420","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43425","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"43450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43450","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"43450","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"43450","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"43450","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"43450","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"43450","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43450","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43450","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43450","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"43450","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43453","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43453","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43453","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43453","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"43453","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43453","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43453","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43453","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"43453","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43453","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43453","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43453","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43453","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"43453","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43453","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43453","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43453","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"43453","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43453","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43453","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"43453","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43456","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43456","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43456","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43456","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"43456","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43456","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43456","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43456","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"43456","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43456","RUC","Accessory, Procedure","SD019","catheter, balloon, ureteral-GI (strictures)","item",166.00,1.00,,"000",,,
"43456","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43456","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43456","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43456","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"43456","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43456","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43456","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43456","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"43456","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43456","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43456","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"43456","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43458","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"43458","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"43458","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"43458","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"43458","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"43458","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"43458","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"43458","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"43458","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"43458","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"43458","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"43458","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"43458","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"43458","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"43458","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"43458","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"43458","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"43458","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"43458","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"43458","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"43458","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"43460","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43496","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"43499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"43500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43501","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43502","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43502","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43510","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"43520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43605","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43610","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43611","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43611","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43620","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43621","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43621","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43622","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43622","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43631","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43631","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43632","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43632","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43633","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43633","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43634","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43634","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43635","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"43640","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43640","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43641","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43641","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43644","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"43644","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43645","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"43645","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"43647","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,"CPT07",
"43648","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,"CPT07",
"43651","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"43651","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"43652","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"43652","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"43653","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","43830",,
"43653","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","43830",,
"43653","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,2.00,"090","43830",,
"43653","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,,1.00,"090","43830",,
"43653","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,1.00,"090","43830",,
"43659","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"43752","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"43754","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","8"
"43754","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"CPT11","8"
"43754","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","8"
"43754","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","8"
"43754","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Hypodermic, IV","SC065","adapter, luer lock","item",1.24,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,5.00,0.00,"000",,"CPT11","8"
"43754","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,12.00,0.00,"000",,"CPT11","8"
"43754","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,10.00,0.00,"000",,"CPT11","8"
"43754","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"CPT11","8"
"43754","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"CPT11","8"
"43754","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","8"
"43755","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"CPT11","8"
"43755","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","8"
"43755","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","8"
"43755","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Hypodermic, IV","SC065","adapter, luer lock","item",1.24,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,12.00,0.00,"000",,"CPT11","8"
"43755","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,10.00,0.00,"000",,"CPT11","8"
"43755","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"CPT11","8"
"43755","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","8"
"43755","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,12.00,0.00,"000",,"CPT11","8"
"43755","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,4.00,0.00,"000",,"CPT11","8"
"43756","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","8"
"43756","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"CPT11","8"
"43756","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","8"
"43756","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","8"
"43756","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Hypodermic, IV","SC065","adapter, luer lock","item",1.24,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,12.00,0.00,"000",,"CPT11","8"
"43756","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,10.00,0.00,"000",,"CPT11","8"
"43756","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"CPT11","8"
"43756","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Office Supply, Grocery","SK028","film, fluoroscopic 14 x 17","item",3.69,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"CPT11","8"
"43756","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","8"
"43757","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"CPT11","8"
"43757","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","8"
"43757","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Hypodermic, IV","SC065","adapter, luer lock","item",1.24,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Accessory, Procedure","SD121","suction specimen trap, sterile","item",2.54,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,12.00,0.00,"000",,"CPT11","8"
"43757","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,10.00,0.00,"000",,"CPT11","8"
"43757","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"CPT11","8"
"43757","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Office Supply, Grocery","SK028","film, fluoroscopic 14 x 17","item",3.69,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","8"
"43757","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,9.00,0.00,"000",,"CPT11","8"
"43757","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,3.00,0.00,"000",,"CPT11","8"
"43760","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000","Feb05","CPT08","rv"
"43760","RUC","Kit, Pack, Tray","SA095","kit, gastrostomy, low profile device (Mic-Key)","item",210.00,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"CPT08","rv"
"43760","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000","15350","CPT08","rv"
"43760","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000","15350","CPT08","rv"
"43760","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Accessory, Procedure","SD229","gastrostomy, stoma measuring device (Mic-Key)","item",10.00,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT08","rv"
"43760","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT08","rv"
"43761","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,0.00,"000",,"Feb05",
"43770","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"43770","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43770","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,,2.00,"090",,"RUC05",
"43770","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,2.00,"090",,"RUC05",
"43770","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","88170","RUC05",
"43770","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,2.00,"090",,"RUC05",
"43770","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","88170","RUC05",
"43771","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"43771","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43771","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,,2.00,"090",,"RUC05",
"43771","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,2.00,"090",,"RUC05",
"43771","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","88170","RUC05",
"43771","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,2.00,"090",,"RUC05",
"43771","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","88170","RUC05",
"43772","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"43772","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43773","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"43773","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43773","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,,2.00,"090",,"RUC05",
"43773","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,2.00,"090",,"RUC05",
"43773","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","88170","RUC05",
"43773","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,2.00,"090",,"RUC05",
"43773","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","88170","RUC05",
"43774","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"43774","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43775","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","11"
"43775","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","11"
"43800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43810","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43820","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43825","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43830","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43830","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,2.00,"090",,,
"43830","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,,1.00,"090",,,
"43830","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,1.00,"090",,,
"43831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43831","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43831","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,2.00,"090",,,
"43831","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,,1.00,"090",,,
"43831","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,1.00,"090",,,
"43832","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43832","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43832","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,2.00,"090",,,
"43832","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,,1.00,"090",,,
"43832","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,,1.00,"090",,,
"43840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43840","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43842","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43842","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43843","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43843","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"43845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","88170","RUC05",
"43845","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43845","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"43846","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43846","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43847","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43847","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43848","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"43848","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43850","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43850","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43855","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43855","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43860","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43865","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"43870","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43880","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"43880","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"43881","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,"CPT07",
"43882","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,"CPT07",
"43886","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"43886","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43886","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,,2.00,"090",,"RUC05",
"43886","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,2.00,"090",,"RUC05",
"43886","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","88170","RUC05",
"43886","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,2.00,"090",,"RUC05",
"43886","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","88170","RUC05",
"43887","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"43887","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43888","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"43888","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"43888","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,,2.00,"090",,"RUC05",
"43888","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,2.00,"090",,"RUC05",
"43888","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,,2.00,"090","88170","RUC05",
"43888","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,,2.00,"090",,"RUC05",
"43888","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,4.00,"090","88170","RUC05",
"43999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"44005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44005","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44015","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44020","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44021","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44021","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44025","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44025","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44050","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44050","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44055","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44055","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44100","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","E"
"44110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44110","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44111","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"44120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44121","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44125","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"44125","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44126","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44126","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44127","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44127","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44128","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"44130","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44132","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"44133","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"44135","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"44136","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"44137","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"44139","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44140","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44141","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44141","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44141","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,4.00,"090",,,
"44141","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,,
"44143","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44143","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44143","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,,
"44143","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"44144","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44144","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44144","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,1.00,"090",,,
"44144","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,1.00,"090",,,
"44145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44145","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44146","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44146","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44146","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,5.00,"090",,,
"44146","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,5.00,"090",,,
"44147","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44147","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44150","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44150","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,5.00,"090",,,
"44150","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,5.00,"090",,,
"44151","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44151","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44151","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,5.00,"090",,,
"44151","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,5.00,"090",,,
"44155","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44155","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44155","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,5.00,"090",,,
"44155","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,5.00,"090",,,
"44156","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44156","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44156","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,6.00,"090",,,
"44156","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,6.00,"090",,,
"44157","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"44157","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"44157","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,4.00,"090",,"CPT07",
"44157","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,"CPT07",
"44158","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"44158","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT07",
"44158","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,4.00,"090",,"CPT07",
"44158","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,"CPT07",
"44160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44160","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","44200","RUC05",
"44180","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","44200","RUC05",
"44186","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","44200","RUC05",
"44186","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"RUC05",
"44186","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090","44200","RUC05",
"44186","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090","44200","RUC05",
"44187","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"44187","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"44187","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,"RUC05",
"44187","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,"RUC05",
"44188","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"44188","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"44188","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,"RUC05",
"44188","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,"RUC05",
"44202","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44202","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44203","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44204","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44204","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44205","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44205","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44206","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44206","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44206","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"44207","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44207","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44208","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44208","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44208","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,1.50,"090",,,
"44208","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"44210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44210","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44210","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,1.00,"090",,,
"44210","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,2.00,"090",,,
"44211","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44211","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44211","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,2.00,"090",,,
"44211","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,,
"44212","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44212","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"44212","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,2.00,"090",,,
"44212","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,,
"44213","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"44227","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"44227","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"44238","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"44300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44300","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44310","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44312","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44312","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44314","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44314","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44316","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44316","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44320","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44322","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"44322","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44322","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,6.00,"090",,,
"44322","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,6.00,"090",,,
"44340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44340","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44345","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44345","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44346","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44346","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44360","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44361","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44363","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44364","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44365","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44366","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44369","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44370","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000","44363",,
"44372","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44373","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44376","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44377","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44378","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44379","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000","44377",,
"44380","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44382","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44383","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000","44382",,
"44385","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"Mar04","U"
"44385","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar04","U"
"44385","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"Mar04","U"
"44385","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"Mar04","U"
"44385","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar04","U"
"44385","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Mar04","U"
"44385","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,"Mar04","U"
"44385","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"Mar04","U"
"44386","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar04","U"
"44386","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"Mar04","U"
"44386","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"Mar04","U"
"44386","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Accessory, Procedure","SD066","endoscopic biopsy forceps","item",50.60,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar04","U"
"44386","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Mar04","U"
"44386","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,"Mar04","U"
"44386","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Mar04","U"
"44388","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44388","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44388","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44388","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44388","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44388","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44388","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44388","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44388","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44388","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44388","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44388","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44388","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44388","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44388","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44388","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44388","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44388","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44388","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44388","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44388","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44388","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44388","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44388","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44388","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44388","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44388","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44389","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44389","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44389","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44389","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44389","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44389","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44389","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44389","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44389","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44389","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44389","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44389","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44389","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44389","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44389","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44389","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"44389","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44389","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44389","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44389","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44389","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44389","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44389","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44389","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44389","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44389","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44389","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44389","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44390","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44390","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44390","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44390","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44390","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44390","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44390","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44390","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44390","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44390","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44390","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44390","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44390","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"44390","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44390","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44390","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44390","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44390","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44390","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44390","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44390","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44390","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44390","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44390","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44390","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44390","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44390","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44390","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44391","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44391","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44391","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44391","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44391","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44391","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44391","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44391","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44391","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44391","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44391","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44391","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44391","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"44391","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44391","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44391","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44391","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44391","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44391","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44391","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44391","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44391","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44391","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44391","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44391","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44391","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44391","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44391","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44392","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44392","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44392","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44392","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44392","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44392","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44392","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44392","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44392","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44392","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44392","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44392","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44392","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44392","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44392","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44392","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"44392","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44392","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44392","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44392","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44392","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44392","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44392","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44392","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44392","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44392","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44392","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44392","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44393","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44393","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44393","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44393","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44393","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44393","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44393","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44393","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44393","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44393","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44393","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44393","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44393","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44393","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44393","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44393","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"44393","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44393","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44393","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44393","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44393","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44393","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44393","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44393","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44393","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44393","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44393","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44393","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44394","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"44394","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"44394","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"44394","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"44394","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"44394","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"44394","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,,
"44394","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"44394","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"44394","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"44394","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"44394","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"44394","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"44394","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"44394","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"44394","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"44394","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"44394","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"44394","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"44394","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"44394","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"44394","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"44394","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"44394","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"44394","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"44394","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"44394","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"44394","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,,"000",,,
"44397","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"44500","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","E"
"44602","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44602","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44603","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44603","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44604","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44604","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44605","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44605","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,2.00,"090",,,
"44605","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,2.00,"090",,,
"44615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44615","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44620","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44625","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44625","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44626","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44626","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44640","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44640","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44650","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44660","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44661","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44661","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44680","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44680","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44700","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44701","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44715","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"44720","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"44721","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"44799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"44800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"44800","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44820","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44850","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44850","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"44900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44900","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44901","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"44901","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"44901","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"44901","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"44901","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"44901","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"44901","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"44901","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"44901","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"44901","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"44950","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44950","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44955","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"44960","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"44960","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44970","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"44970","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"44979","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"45000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"45000","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45005","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"010",,"Mar04","D"
"45005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,"Mar04","D"
"45005","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"45005","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","D"
"45005","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"45005","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"45005","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar04","D"
"45005","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"010",,"Mar04","D"
"45005","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"010",,"Mar04","D"
"45005","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","D"
"45020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45020","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"45100","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45108","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"45108","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"45110","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45110","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,,
"45110","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"45111","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45112","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45113","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45113","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45113","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,,
"45113","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45114","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45114","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45116","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45116","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45119","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45119","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45119","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,,
"45119","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"45120","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45121","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"45121","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45123","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45123","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45126","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"45126","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45126","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,,
"45126","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45130","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"45135","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45136","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"45136","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45136","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,4.00,"090",,,
"45136","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,,
"45150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45150","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"45160","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"45171","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"CPT10","31"
"45171","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","31"
"45171","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"CPT10","31"
"45171","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"CPT10","31"
"45171","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,,2.00,"090",,"CPT10","31"
"45171","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,1.00,"090",,"CPT10","31"
"45171","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,1.00,"090",,"CPT10","31"
"45171","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"CPT10","31"
"45171","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"CPT10","31"
"45171","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"CPT10","31"
"45171","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,3.00,"090",,"CPT10","31"
"45171","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,,8.00,"090",,"CPT10","31"
"45171","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,6.00,"090",,"CPT10","31"
"45171","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,2.00,"090",,"CPT10","31"
"45172","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"CPT10","31"
"45172","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","31"
"45172","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"CPT10","31"
"45172","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"CPT10","31"
"45172","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,,2.00,"090",,"CPT10","31"
"45172","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,1.00,"090",,"CPT10","31"
"45172","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,,1.00,"090",,"CPT10","31"
"45172","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"CPT10","31"
"45172","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"CPT10","31"
"45172","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"CPT10","31"
"45172","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,3.00,"090",,"CPT10","31"
"45172","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,,8.00,"090",,"CPT10","31"
"45172","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,6.00,"090",,"CPT10","31"
"45172","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,2.00,"090",,"CPT10","31"
"45190","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45190","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45190","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45190","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45190","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45190","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45300","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45300","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45300","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45300","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45300","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45300","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45300","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45300","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45300","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45300","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45300","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45300","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45300","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45300","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"45300","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45300","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45300","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45300","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45300","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45303","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45303","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45303","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45303","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45303","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45303","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45303","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45303","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45303","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45303","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45303","RUC","Accessory, Procedure","SD019","catheter, balloon, ureteral-GI (strictures)","item",166.00,3.00,,"000",,,
"45303","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45303","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45303","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45303","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45303","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45303","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45303","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45303","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45303","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45303","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45303","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45303","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45303","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45305","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45305","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45305","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45305","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45305","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45305","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45305","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45305","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45305","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45305","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45305","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45305","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45305","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45305","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45305","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45305","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45305","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45305","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45305","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45305","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45305","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45305","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45307","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45307","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45307","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45307","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45307","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45307","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45307","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45307","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45307","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45307","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45307","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45307","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45307","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45307","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45307","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45307","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45307","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45307","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45307","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45307","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45307","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45307","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45307","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45308","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45308","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45308","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45308","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45308","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45308","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45308","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45308","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45308","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45308","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45308","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45308","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45308","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45308","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45308","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45308","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45308","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45308","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45308","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45308","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45308","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45308","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45308","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45309","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45309","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45309","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45309","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45309","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45309","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45309","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45309","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45309","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45309","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45309","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45309","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45309","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45309","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45309","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45309","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45309","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45309","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45309","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45309","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45309","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45309","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45309","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45315","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45315","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45315","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45315","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45315","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45315","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45315","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45315","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45315","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45315","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45315","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45315","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45315","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45315","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45315","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45315","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45315","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45315","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45315","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45315","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45315","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45315","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45315","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45317","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45317","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45317","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45317","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45317","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45317","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45317","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45317","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45317","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45317","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45317","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45317","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45317","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45317","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45317","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45317","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45317","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45317","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45317","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45317","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45317","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45317","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45317","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45320","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45320","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45320","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"45320","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45320","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45320","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45320","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45320","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45320","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45320","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45320","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"45320","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45320","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45320","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45320","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45320","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45320","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,,
"45320","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45320","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"45320","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45320","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"45320","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45321","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45327","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45330","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"000",,,
"45330","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"000",,,
"45330","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,,"000",,,
"45330","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"45330","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"45330","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"45330","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"45330","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"45330","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45330","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45330","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45330","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45330","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"45330","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,30.00,,"000",,,
"45330","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45330","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45330","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45330","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45330","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45330","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45330","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45330","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45331","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45331","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45331","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45331","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45331","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45331","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45331","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45331","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45331","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45331","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45331","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45331","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45331","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45331","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45331","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45331","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45331","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45331","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45331","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45332","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45332","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45332","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"000",,,
"45332","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45332","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45332","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45332","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45332","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45332","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45332","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45332","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"45332","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45332","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45332","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45332","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45332","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45332","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45332","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45332","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45332","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45332","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45332","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45332","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45333","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45333","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45333","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45333","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"000",,,
"45333","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45333","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45333","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45333","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45333","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45333","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45333","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45333","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"45333","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45333","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45333","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45333","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45333","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45333","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45333","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45333","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45333","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45333","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45333","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45333","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45333","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45334","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45335","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,0.00,"000",,,
"45335","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","MS"
"45335","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45335","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45335","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"45335","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45335","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45335","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"45335","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,3.00,,"000",,,
"45335","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"000",,,
"45335","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45335","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"000",,,
"45335","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45335","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"45335","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45335","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"45335","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45335","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"000",,,
"45337","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45338","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45338","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45338","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45338","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"000",,,
"45338","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45338","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45338","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45338","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45338","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45338","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45338","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45338","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"45338","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45338","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45338","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45338","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45338","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45338","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45338","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45338","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45338","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45338","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45338","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45338","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45338","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45339","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45339","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45339","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45339","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45339","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45339","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45339","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45339","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45339","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45339","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45339","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45339","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45339","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45339","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"45339","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45339","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45339","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45339","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45339","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45339","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45339","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45339","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45340","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,0.00,"000",,,
"45340","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","MS"
"45340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45340","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45340","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"45340","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45340","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45340","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"45340","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"000",,,
"45340","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45340","RUC","Accessory, Procedure","SD019","catheter, balloon, ureteral-GI (strictures)","item",166.00,1.00,,"000",,,
"45340","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"000",,,
"45340","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45340","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"45340","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45340","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"45340","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45340","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"000",,,
"45341","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45342","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45345","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45355","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45378","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45378","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45378","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45378","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45378","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45378","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45378","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45378","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45378","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45378","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45378","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45378","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45378","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45378","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45378","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45378","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45378","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45378","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45378","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45378","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45378","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45378","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45378","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45379","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45379","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45379","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45379","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45379","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45379","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45379","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45379","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45379","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45379","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45379","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"45379","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45379","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45379","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45379","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45379","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45379","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45379","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45379","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45379","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45379","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45379","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45379","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45379","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45379","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45380","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45380","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45380","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45380","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45380","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45380","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45380","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45380","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45380","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45380","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45380","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45380","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45380","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45380","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45380","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45380","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45380","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45380","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45380","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45380","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45380","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45380","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45380","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45380","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45381","RUC","Kit, Pack, Tray","SA021","kit, needle-free injection system","kit",9.49,1.00,0.00,"000",,,
"45381","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","MS"
"45381","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45381","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45381","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"45381","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45381","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45381","RUC","Hypodermic, IV","SC044","needle, variceal injection","item",36.00,1.00,,"000",,,
"45381","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,3.00,,"000",,,
"45381","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"000",,,
"45381","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45381","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"000",,,
"45381","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45381","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"45381","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45381","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"45381","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45381","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"000",,,
"45382","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45382","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45382","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45382","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45382","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45382","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45382","RUC","Hypodermic, IV","SC011","endoscopic sclerotherapy needle","item",21.00,1.00,,"000",,,
"45382","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45382","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45382","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45382","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45382","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"45382","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45382","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45382","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45382","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45382","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45382","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45382","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45382","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45382","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45382","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45382","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45382","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45382","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45382","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45383","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45383","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45383","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45383","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45383","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45383","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45383","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45383","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45383","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45383","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45383","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45383","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45383","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45383","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45383","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45383","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45383","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45383","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45383","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45383","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45383","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45383","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45383","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45383","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45384","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45384","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45384","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45384","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45384","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45384","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45384","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45384","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45384","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45384","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45384","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45384","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45384","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"45384","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45384","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45384","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45384","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45384","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45384","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45384","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45384","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45384","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45384","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45384","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45385","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"45385","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45385","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45385","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"45385","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45385","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45385","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"45385","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"45385","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45385","RUC","Accessory, Procedure","SD067","endoscopic cytology brush","item",10.75,1.00,,"000",,,
"45385","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"45385","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45385","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"45385","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"45385","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000",,,
"45385","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45385","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"45385","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"45385","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000",,,
"45385","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"45385","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45385","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"45385","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000",,,
"45385","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"45386","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","MS"
"45386","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"45386","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"45386","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"45386","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"45386","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"45386","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"45386","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"000",,,
"45386","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"000",,,
"45386","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"45386","RUC","Accessory, Procedure","SD019","catheter, balloon, ureteral-GI (strictures)","item",166.00,1.00,,"000",,,
"45386","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"000",,,
"45386","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,,"000",,,
"45386","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,,"000",,,
"45386","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"45386","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,,
"45386","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"45386","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,3.00,,"000",,,
"45387","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45391","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45392","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"45395","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","88170","RUC05",
"45395","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"45395","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,4.00,"090",,"RUC05",
"45395","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,"RUC05",
"45397","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","88170","RUC05",
"45397","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"45397","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,4.00,"090",,"RUC05",
"45397","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,4.00,"090",,"RUC05",
"45400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"45400","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"45402","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"45402","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"45500","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45500","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45500","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45500","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45505","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45505","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45505","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45505","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45505","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45520","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar04","D"
"45520","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar04","D"
"45520","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Mar04","D"
"45520","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Mar04","D"
"45520","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"Mar04","D"
"45520","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar04","D"
"45520","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,0.00,"000",,"Mar04","D"
"45520","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,8.00,0.00,"000",,"Mar04","D"
"45520","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"000",,"Mar04","D"
"45520","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, Rx","SH062","sclerosing solution inj","ml",2.02,5.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"000",,"Mar04","D"
"45520","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Mar04","D"
"45540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"45540","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45540","RUC","Accessory, Procedure","SD117","sigmoidoscope","item",2.45,,1.00,"090",,,
"45540","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45540","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45540","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,1.00,"090",,,
"45541","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45541","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45541","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45541","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45541","RUC","Accessory, Procedure","SD117","sigmoidoscope","item",2.45,,1.00,"090",,,
"45541","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45541","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45541","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45541","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45550","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45550","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45550","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45550","RUC","Accessory, Procedure","SD117","sigmoidoscope","item",2.45,,1.00,"090",,,
"45550","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45550","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45550","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45550","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45560","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"45560","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45560","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45560","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45560","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45560","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45560","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45562","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45562","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"45562","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45562","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45562","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45562","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45562","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45562","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45563","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45563","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"45563","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45563","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45563","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45563","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45563","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45563","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45563","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45800","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45800","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45800","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45800","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45805","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45805","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45805","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45805","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45805","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45805","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45805","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45805","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45820","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"45820","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45820","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45820","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45820","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45825","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"45825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"45825","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"45825","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"45825","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"45825","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"45825","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"45825","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,,
"45825","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"45900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"45900","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"45905","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"45905","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"45910","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"45910","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"45915","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"010",,"Mar04","D"
"45915","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","D"
"45915","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"45915","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","D"
"45915","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"45915","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"45915","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar04","D"
"45915","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"010",,"Mar04","D"
"45915","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"010",,"Mar04","D"
"45915","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","D"
"45990","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"RUC05",
"45999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"46020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,,
"46020","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"46020","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,1.00,"010",,,
"46020","RUC","Cutters, Closures, Cautery","SF031","loop, surgical (Surg-I-Loop)","item",1.27,1.00,,"010",,,
"46020","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"010",,,
"46020","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,1.00,"010",,,
"46030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,,
"46030","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46030","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46030","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46030","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46030","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46030","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46030","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46030","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46030","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46030","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46030","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46030","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46040","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar04","D"
"46040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar04","D"
"46040","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar04","D"
"46040","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar04","D"
"46040","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar04","D"
"46040","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar04","D"
"46040","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar04","D"
"46040","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar04","D"
"46040","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Accessory, Procedure","SD026","catheter, Pezzar (mushroom)","item",13.95,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar04","D"
"46040","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar04","D"
"46040","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar04","D"
"46040","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar04","D"
"46040","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar04","D"
"46040","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar04","D"
"46045","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"46045","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46045","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46045","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46045","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46050","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46050","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46050","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46050","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46050","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46050","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46050","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46050","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46050","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46050","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46050","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46050","RUC","Accessory, Procedure","SD026","catheter, Pezzar (mushroom)","item",13.95,1.00,,"010",,,
"46050","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46050","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46050","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46050","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46050","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"010",,,
"46050","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46050","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46050","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46050","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46050","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46050","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46050","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46050","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46050","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46050","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46050","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46060","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46060","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46060","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46060","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46060","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46070","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46070","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"46070","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46070","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46070","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46070","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46080","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,,
"46080","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46080","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46080","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46080","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46080","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46080","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46080","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46080","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46080","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46080","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46080","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46080","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46080","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46080","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46080","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46080","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"010",,,
"46080","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46080","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46080","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46080","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46080","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46080","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46080","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46080","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46080","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46080","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46080","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46083","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46083","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46083","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46083","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46083","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46083","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46083","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46083","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46083","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46083","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46083","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46083","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46083","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46083","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46083","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"010",,,
"46083","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46083","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46083","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46083","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46083","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46083","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46083","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46083","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46083","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46083","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46083","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46200","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"Mar03","7"
"46200","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.50,3.50,"090",,"Mar03","7"
"46200","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46200","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","7"
"46200","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46200","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46200","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46200","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar03","7"
"46200","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46200","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46220","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46220","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46220","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46220","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46220","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46220","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46220","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46220","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46220","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46220","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46220","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46220","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46220","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"010",,,
"46220","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46220","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46220","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"010",,,
"46220","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46220","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46220","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46220","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46220","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46220","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46220","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46220","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46220","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46220","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46220","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46221","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"010",,"Mar03","7"
"46221","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar03","7"
"46221","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","7"
"46221","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","7"
"46221","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","7"
"46221","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","7"
"46221","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar03","7"
"46221","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar03","7"
"46221","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"010",,"Mar03","7"
"46221","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar03","7"
"46221","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"010",,"Mar03","7"
"46221","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar03","7"
"46221","RUC","Cutters, Closures, Cautery","SF032","rubber bands, sterile for ligation","item",0.14,1.00,0.00,"010",,"Mar03","7"
"46221","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Mar03","7"
"46221","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar03","7"
"46221","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"010",,"Mar03","7"
"46221","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"010",,"Mar03","7"
"46221","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar03","7"
"46230","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,,"010",,,
"46230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46230","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46230","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46230","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46230","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46230","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46230","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46230","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46230","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46230","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46230","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46230","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46230","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46230","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46230","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46230","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"46230","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"010",,,
"46230","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46230","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46230","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46230","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46230","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46230","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46230","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"46230","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46230","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46230","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46230","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46230","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46250","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","7"
"46250","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46250","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46250","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46250","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46250","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46250","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46250","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Mar03","7"
"46250","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"090",,"Mar03","7"
"46250","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Mar03","7"
"46250","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46250","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46250","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46250","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46250","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46250","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46255","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","7"
"46255","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46255","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46255","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46255","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46255","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46255","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46255","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Mar03","7"
"46255","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"090",,"Mar03","7"
"46255","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Mar03","7"
"46255","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46255","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46255","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46255","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46255","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46255","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"46257","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46257","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"46257","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46257","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46257","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46257","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46258","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46258","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46258","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46260","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"46260","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46260","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46260","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46260","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46261","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46261","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46261","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46262","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46262","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46262","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46262","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46262","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46262","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46270","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"Mar03","7"
"46270","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","7"
"46270","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46270","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","7"
"46270","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46270","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46270","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46270","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar03","7"
"46270","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46270","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"Mar03","7"
"46275","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","7"
"46275","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46275","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","7"
"46275","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46275","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46275","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46275","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar03","7"
"46275","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46275","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46280","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46280","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46280","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46280","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46280","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46285","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"090",,"Mar03","7"
"46285","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Mar03","7"
"46285","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46285","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"090",,"Mar03","7"
"46285","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46285","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46285","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46285","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Mar03","7"
"46285","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46285","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46288","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46288","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46288","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46288","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46288","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46288","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,1.00,"010",,,
"46320","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46320","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46320","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46320","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46320","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46320","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46320","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46320","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46320","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46320","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46320","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46320","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46320","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46320","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"010",,,
"46320","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46320","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46320","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46320","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46320","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46320","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46320","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46320","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46320","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46320","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46320","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46500","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"010",,"Mar04","D"
"46500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","D"
"46500","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"46500","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","D"
"46500","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"46500","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"46500","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"010",,"Mar04","D"
"46500","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"010",,"Mar04","D"
"46500","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","D"
"46500","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,0.00,"010",,"Mar04","D"
"46500","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar04","D"
"46500","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,0.00,"010",,"Mar04","D"
"46500","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar04","D"
"46500","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,8.00,0.00,"010",,"Mar04","D"
"46500","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Mar04","D"
"46500","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, Rx","SH062","sclerosing solution inj","ml",2.02,3.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"010",,"Mar04","D"
"46500","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","D"
"46505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"RUC05",
"46505","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,4.00,2.00,"010",,"RUC05",
"46505","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,2.00,"010",,"RUC05",
"46505","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,1.00,"010",,"RUC05",
"46505","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,4.00,2.00,"010",,"RUC05",
"46505","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,4.00,2.00,"010",,"RUC05",
"46505","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"RUC05",
"46505","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"RUC05",
"46505","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,"RUC05",
"46505","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,1.00,"010",,"RUC05",
"46505","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,2.00,1.00,"010",,"RUC05",
"46505","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,4.00,"010",,"RUC05",
"46505","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"010",,"RUC05",
"46505","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,1.00,0.00,"010",,"RUC05",
"46505","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"010",,"RUC05",
"46505","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"010",,"RUC05",
"46505","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,2.00,1.00,"010",,"RUC05",
"46600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46600","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46600","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46600","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46600","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46600","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46600","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46600","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46600","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46600","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46600","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46600","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46600","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46600","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46600","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46600","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46600","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46600","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46600","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46600","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46600","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46600","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46600","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46604","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46604","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46604","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46604","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46604","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46604","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46604","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46604","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46604","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46604","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46604","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46604","RUC","Accessory, Procedure","SD019","catheter, balloon, ureteral-GI (strictures)","item",166.00,2.00,,"000",,,
"46604","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46604","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46604","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46604","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46604","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46604","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46604","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46604","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46604","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46604","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46604","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46604","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46606","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46606","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46606","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46606","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46606","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46606","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46606","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46606","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46606","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46606","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46606","RUC","Accessory, Procedure","SD066","endoscopic biopsy forceps","item",50.60,1.00,,"000",,,
"46606","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46606","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46606","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"46606","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"46606","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46606","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46606","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46606","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46606","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46606","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"46606","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46606","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46606","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46606","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46606","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46608","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46608","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46608","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46608","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46608","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46608","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46608","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46608","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46608","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46608","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46608","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46608","RUC","Accessory, Procedure","SD066","endoscopic biopsy forceps","item",50.60,1.00,,"000",,,
"46608","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46608","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46608","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46608","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46608","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46608","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46608","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46608","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"46608","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46608","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46608","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46608","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46608","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46610","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46610","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46610","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46610","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46610","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46610","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46610","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46610","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46610","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46610","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46610","RUC","Accessory, Procedure","SD066","endoscopic biopsy forceps","item",50.60,1.00,,"000",,,
"46610","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46610","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46610","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46610","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46610","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46610","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46610","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46610","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"46610","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46610","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46610","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46610","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46610","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46611","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46611","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46611","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46611","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46611","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46611","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46611","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46611","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46611","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46611","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46611","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46611","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"46611","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46611","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46611","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"000",,,
"46611","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"46611","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46611","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46611","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46611","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46611","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46611","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"46611","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46611","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46611","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46611","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46611","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46612","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46612","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46612","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46612","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46612","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46612","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46612","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46612","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46612","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46612","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46612","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46612","RUC","Accessory, Procedure","SD066","endoscopic biopsy forceps","item",50.60,1.00,,"000",,,
"46612","RUC","Accessory, Procedure","SD068","endoscopic polypectomy snare","item",19.70,1.00,,"000",,,
"46612","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46612","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46612","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46612","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46612","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46612","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46612","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46612","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"46612","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46612","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46612","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46612","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46612","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46614","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46614","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46614","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46614","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46614","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46614","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46614","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46614","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46614","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46614","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46614","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46614","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46614","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46614","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46614","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46614","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46614","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46614","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46614","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46614","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46614","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46614","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46614","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"46615","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"46615","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"46615","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000",,,
"46615","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,,
"46615","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000",,,
"46615","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"46615","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"46615","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"46615","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"000",,,
"46615","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"46615","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"000",,,
"46615","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,,
"46615","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"000",,,
"46615","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"000",,,
"46615","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"46615","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,,
"46615","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"000",,,
"46615","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"46615","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000",,,
"46615","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"46615","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,,
"46615","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,,
"46615","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,,
"46700","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46700","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46700","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46700","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46705","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46705","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"46705","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46705","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46705","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46705","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46706","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"46707","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"CPT10","12"
"46707","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","12"
"46707","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","12"
"46707","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"CPT10","12"
"46707","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"CPT10","12"
"46707","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"CPT10","12"
"46710","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"RUC05",
"46710","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"46710","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"46710","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"RUC05",
"46710","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"RUC05",
"46710","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"RUC05",
"46710","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090","11975","RUC05",
"46710","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"RUC05",
"46710","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"090",,"RUC05",
"46712","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"RUC05",
"46712","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","88170","RUC05",
"46712","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"46712","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"RUC05",
"46712","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,1.00,"090",,"RUC05",
"46712","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,1.00,"090",,"RUC05",
"46712","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090","11975","RUC05",
"46712","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,3.00,"090",,"RUC05",
"46712","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,3.00,"090",,"RUC05",
"46712","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"RUC05",
"46712","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,1.00,"090",,"RUC05",
"46715","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46715","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46715","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46715","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46715","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46715","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46716","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46716","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"46716","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46716","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46716","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46716","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46730","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46730","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46730","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46730","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46730","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46730","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46735","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46735","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46735","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46735","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46735","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46735","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46740","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46740","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46740","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46740","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46740","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46742","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46742","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46742","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46742","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46742","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46742","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46744","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46744","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46744","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46744","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46744","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46744","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46746","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46746","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46746","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46746","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46746","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46746","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46748","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46748","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"Apr06","J"
"46748","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46748","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46748","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46748","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46750","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46750","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46750","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46750","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46750","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46750","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46751","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46751","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"46751","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46751","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46751","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46751","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46753","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46753","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"46753","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46753","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46753","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46753","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46754","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,,
"46754","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46754","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46754","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46754","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46754","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46754","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46754","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46754","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46754","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46754","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46754","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46754","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46754","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46754","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46754","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46754","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46754","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46754","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46754","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46754","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46754","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46754","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46754","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46760","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"46760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46760","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46760","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46760","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46761","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46761","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46761","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46761","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46761","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46762","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,1.00,"090",,"Apr06","J"
"46762","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"46762","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"46762","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,"Apr06","J"
"46762","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,"Apr06","J"
"46762","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,"Apr06","J"
"46900","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","D"
"46900","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"46900","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","D"
"46900","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"46900","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"46900","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar04","D"
"46900","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,0.00,"010",,"Mar04","D"
"46900","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,8.00,0.00,"010",,"Mar04","D"
"46900","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Mar04","D"
"46900","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","D"
"46900","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,4.00,0.00,"010",,"Mar04","D"
"46900","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Mar04","D"
"46900","RUC","Pharmacy, Rx","SH091","trichloroacetic acid 90% (sat soln)","ml",0.85,2.00,0.00,"010",,"Mar04","D"
"46900","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","D"
"46900","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"010",,"Mar04","D"
"46900","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","D"
"46900","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","D"
"46910","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"46910","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar04","D"
"46910","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"46910","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"46910","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"010",,"Mar04","D"
"46910","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,6.00,0.00,"010",,"Mar04","D"
"46910","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,8.00,0.00,"010",,"Mar04","D"
"46910","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"010",,"Mar04","D"
"46910","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","D"
"46910","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"010",,"Mar04","D"
"46910","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"010",,"Mar04","D"
"46910","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"010",,"Mar04","D"
"46910","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"Mar04","D"
"46910","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"010",,"Mar04","D"
"46910","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Mar04","D"
"46916","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"46916","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46916","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46916","RUC","Gown, Drape","SB003","cover, probe (cryosurgery)","item",0.75,1.00,,"010",,,
"46916","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46916","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46916","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46916","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46916","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46916","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46916","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46916","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46916","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46916","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46916","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46916","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46916","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"46916","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"46916","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"010",,,
"46916","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"46916","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46916","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46916","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46916","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46916","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46916","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46916","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"46916","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46916","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46916","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46916","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46916","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46917","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"46917","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46917","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46917","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46917","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46917","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46917","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46917","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46917","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46917","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46917","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46917","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46917","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46917","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46917","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46917","RUC","Cutters, Closures, Cautery","SF029","laser tip, bare (single use)","item",150.00,1.00,,"010",,,
"46917","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46917","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"46917","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"46917","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"010",,,
"46917","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"46917","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46917","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46917","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46917","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46917","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46917","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46917","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"46917","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46917","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46917","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46917","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46917","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46922","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"46922","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46922","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46922","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46922","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46922","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46922","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46922","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46922","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46922","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46922","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46922","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46922","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46922","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46922","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"010",,,
"46922","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46922","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46922","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46922","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,,"010",,,
"46922","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"46922","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"010",,,
"46922","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"46922","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46922","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46922","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46922","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46922","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46922","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46922","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"46922","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46922","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46922","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46922","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46922","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46924","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"46924","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"46924","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46924","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46924","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46924","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46924","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46924","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46924","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46924","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46924","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46924","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46924","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46924","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46924","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,,"010",,,
"46924","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46924","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46924","RUC","Cutters, Closures, Cautery","SF029","laser tip, bare (single use)","item",150.00,1.00,,"010",,,
"46924","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"46924","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"46924","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,,"010",,,
"46924","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"010",,,
"46924","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"46924","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46924","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46924","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46924","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46924","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46924","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46924","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"46924","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46924","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46924","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46924","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46924","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46930","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"CPT09","14"
"46930","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"CPT09","14"
"46930","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"CPT09","14"
"46930","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"CPT09","14"
"46930","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"CPT09","14"
"46940","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,,
"46940","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46940","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46940","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46940","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46940","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46940","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46940","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46940","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46940","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46940","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46940","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46940","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46940","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46940","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46940","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46940","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46940","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46940","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46940","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46940","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46940","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46940","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46940","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46940","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46940","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46942","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.50,0.50,"010",,,
"46942","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"46942","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"010",,,
"46942","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"46942","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"46942","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,,
"46942","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"46942","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"46942","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"010",,,
"46942","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,1.00,,"010",,,
"46942","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"46942","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"46942","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"46942","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"46942","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"46942","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,,"010",,,
"46942","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"46942","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"010",,,
"46942","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"46942","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,,"010",,,
"46942","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"46942","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"010",,,
"46942","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"010",,,
"46942","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"010",,,
"46942","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"010",,,
"46942","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"010",,,
"46945","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46945","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Mar03","7"
"46945","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46945","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,0.00,"090",,"Mar03","7"
"46945","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46945","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46945","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46945","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46945","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46945","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Mar03","7"
"46946","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Mar03","7"
"46946","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,2.00,1.00,"090",,"Mar03","7"
"46946","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Cutters, Closures, Cautery","SF015","cautery, monopolar, blade, extended shaft","item",3.06,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,8.00,0.00,"090",,"Mar03","7"
"46946","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"090",,"Mar03","7"
"46946","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"090",,"Mar03","7"
"46946","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,8.00,4.00,"090",,"Mar03","7"
"46946","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,6.00,3.00,"090",,"Mar03","7"
"46946","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Mar03","7"
"46946","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Mar03","7"
"46947","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"46947","RUC","Accessory, Procedure","SD003","anoscope","item",0.92,,1.00,"090",,,
"46947","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,,
"46947","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,,3.00,"090",,,
"46999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"47000","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Hypodermic, IV","SC033","needle, biopsy, spring-loaded","item",19.00,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,10.00,,"000",,"CPT12","Feb 11"
"47000","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,,"000",,"CPT12","Feb 11"
"47001","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"47010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47010","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47010","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47010","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47010","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47010","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47010","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47010","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47010","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47010","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47010","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47011","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"47015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47015","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47015","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47015","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47015","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47015","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47015","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47015","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47015","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47015","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47015","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47015","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47100","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47100","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47100","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47100","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47100","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47100","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47100","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47100","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47100","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"47120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47120","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,,
"47120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47120","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47120","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,80.00,"090",,,
"47120","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47120","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,,
"47120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47122","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47122","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47122","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47122","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,,
"47122","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47122","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47122","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47122","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,80.00,"090",,,
"47122","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47122","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47122","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,,
"47122","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47125","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47125","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47125","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47125","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,,
"47125","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47125","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47125","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47125","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,80.00,"090",,,
"47125","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47125","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47125","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,,
"47125","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47130","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47130","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47130","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,,
"47130","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47130","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47130","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47130","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,80.00,"090",,,
"47130","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47130","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47130","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,,
"47130","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47133","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"47135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","T"
"47135","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"47136","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,7.00,"090",,"Mar04","T"
"47136","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"47140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","T"
"47140","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"47141","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","T"
"47141","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"47142","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","T"
"47142","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"47143","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"47144","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"47145","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"47146","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"47147","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"47300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47300","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47300","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47300","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47300","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47300","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47300","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47300","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47300","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47300","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47300","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47300","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47350","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47350","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47350","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47350","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47350","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47350","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47350","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47350","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47350","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47350","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47350","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47350","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47360","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47360","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47360","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47360","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47360","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47360","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47360","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47360","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47360","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47360","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47360","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47360","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47361","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47361","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","47360",,
"47361","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090","47360",,
"47361","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090","47360",,
"47361","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090","47360",,
"47361","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090","47360",,
"47361","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090","47360",,
"47361","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090","47360",,
"47361","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090","47360",,
"47361","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090","47360",,
"47361","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090","47360",,
"47361","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090","47360",,
"47362","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47362","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","47360",,
"47362","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090","47360",,
"47362","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090","47360",,
"47362","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090","47360",,
"47362","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090","47360",,
"47362","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090","47360",,
"47362","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090","47360",,
"47362","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090","47360",,
"47362","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090","47360",,
"47362","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090","47360",,
"47362","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090","47360",,
"47370","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"47370","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47371","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"47371","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47379","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"47380","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"47380","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47381","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"47381","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47382","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"010",,"Oct08",
"47382","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Oct08",
"47382","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,,"010",,"Oct08",
"47382","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"010",,"Oct08",
"47382","RUC","Kit, Pack, Tray","SA096","kit, introducer, radiofrequency, XIi-enhanced RF probe","kit",99.00,1.00,,"010",,"Oct08",
"47382","RUC","Kit, Pack, Tray","SA100","kit, probe, radiofrequency, XIi-enhanced RF probe","kit",2695.00,1.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"010",,"Oct08",
"47382","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"010",,"Oct08",
"47382","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,"Oct08",
"47382","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"Oct08",
"47382","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,"Oct08",
"47382","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"Oct08",
"47382","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,,"010",,"Oct08",
"47382","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,,"010",,"Oct08",
"47382","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"010",,"Oct08",
"47382","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,"Oct08",
"47382","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"010",,"Oct08",
"47382","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,"Oct08",
"47382","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"010",,"Oct08",
"47382","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,"Oct08",
"47382","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,,"010",,"Oct08",
"47382","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"010",,"Oct08",
"47382","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,,"010",,"Oct08",
"47399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"47400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47400","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47400","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47400","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47400","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47400","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47400","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47400","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47400","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47400","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47400","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47400","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47420","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47420","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47420","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47420","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47420","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47420","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47420","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47420","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47420","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47420","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47420","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47425","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47425","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47425","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47425","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47425","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47425","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47425","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47425","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47425","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47425","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47425","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47460","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47460","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47460","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47460","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47460","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47460","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47460","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47460","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47460","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47460","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47460","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47460","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47480","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47480","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47480","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47480","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47480","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47480","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47480","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47480","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47480","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47480","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47480","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47480","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47490","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47490","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47490","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47490","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47490","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47490","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47490","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47490","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47490","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47490","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47490","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47490","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47500","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"47505","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Jan04","7"
"47510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"47510","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47511","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"47511","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"47525","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Oct08","6"
"47525","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"47525","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"47525","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"OCT08","hi"
"47525","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"OCT08","hi"
"47530","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,1.00,"090",,"Jan04","9"
"47530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,3.00,"090",,"Jan04","9"
"47530","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"090",,"Jan04","9"
"47530","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"090",,"Jan04","9"
"47530","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Jan04","9"
"47530","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Jan04","9"
"47530","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"090",,"Jan04","9"
"47530","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"090",,"Jan04","9"
"47530","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"090",,"Jan04","9"
"47550","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"47552","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"47553","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","E"
"47554","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"47555","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"47556","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","E"
"47560","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"47561","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","U"
"47562","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT13","MD Time"
"47562","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47563","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"CPT12","5 Year"
"47563","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47564","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"47564","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT12","5 Year"
"47570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"47570","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"47579","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"47600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT13","May 45"
"47600","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT13","May 45"
"47600","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT13","May 45"
"47600","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,"CPT13","May 45"
"47600","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,"CPT13","May 45"
"47605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT13","May 45"
"47605","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT13","May 45"
"47605","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT13","May 45"
"47605","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,"CPT13","May 45"
"47605","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,"CPT13","May 45"
"47610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"47610","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47610","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47610","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,
"47610","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"47610","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47610","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"47610","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47610","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47610","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47610","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47610","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47612","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"47612","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47612","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47612","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,
"47612","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"47612","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"47612","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47612","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47612","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47612","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"47620","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47620","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47620","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,,
"47620","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"47620","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"47620","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47620","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47620","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47620","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47630","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"090",,,
"47700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"47700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47700","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47700","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47700","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47700","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47700","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47700","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47700","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47700","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47700","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47700","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47701","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"47701","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47701","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47701","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47701","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47701","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47701","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47701","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47701","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47701","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47701","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47701","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47711","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47711","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47711","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47711","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47711","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47711","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47711","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47711","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47711","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47711","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47711","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47711","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47712","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47712","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47712","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47712","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47712","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47712","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47712","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47712","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47712","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47712","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47712","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47712","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47715","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47715","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47715","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47715","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47715","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47715","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47715","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47715","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47715","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47715","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47715","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47715","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47720","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47720","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47720","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47720","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47720","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47720","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47720","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47720","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47720","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47720","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47720","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47721","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47721","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47721","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47721","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47721","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47721","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47721","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47721","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47721","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47721","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47721","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47721","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47740","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47740","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47740","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47740","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47740","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47740","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47740","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47740","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47740","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47740","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47740","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47741","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47741","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47741","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47741","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47741","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47741","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47741","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47741","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47741","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47741","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47741","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47741","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47760","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47760","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47760","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47760","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47760","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47760","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47760","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47760","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47760","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47760","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47765","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47765","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47765","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47765","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47765","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47765","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47765","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47765","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47765","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47765","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47765","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47765","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47780","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47780","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47780","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47780","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47780","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47780","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47780","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47780","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47780","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47780","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47780","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47780","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47785","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47785","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47785","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47785","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47785","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47785","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47785","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47785","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47785","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47785","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47785","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47785","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47800","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47800","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47800","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47800","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47800","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47800","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47800","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47800","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47800","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47800","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47801","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47801","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47801","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47801","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47801","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47801","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47801","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47801","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47801","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47801","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47801","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47801","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47802","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47802","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47802","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"47802","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"47802","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"47802","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47802","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"47802","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"47802","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"47802","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"47802","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47802","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"47900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"47900","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"47900","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"47900","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090",,,
"47900","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"47900","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,,
"47900","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090",,,
"47900","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090",,,
"47900","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"47900","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090",,,
"47900","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090",,,
"47900","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090",,,
"47999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"48000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48000","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48000","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48000","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48000","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48000","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48000","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48000","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48000","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48000","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48000","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48001","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48001","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48001","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48001","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48001","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48001","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48001","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48001","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48001","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48001","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48020","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48020","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48020","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48020","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48020","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48020","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48020","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48020","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48020","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48020","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"48100","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48100","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48100","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48100","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48100","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48100","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48100","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48100","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48102","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Feb05",
"48102","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,0.00,"010",,"Feb05",
"48102","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"010",,"Feb05",
"48102","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Feb05",
"48102","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"010",,"Feb05",
"48102","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"010",,"Feb05",
"48102","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"010",,"Feb05",
"48102","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Feb05",
"48102","RUC","Hypodermic, IV","SC033","needle, biopsy, spring-loaded","item",19.00,1.00,0.00,"010",,"Feb05",
"48102","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Feb05",
"48102","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"010",,"Feb05",
"48102","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"Feb05",
"48102","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"010",,"Feb05",
"48102","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"010",,"Feb05",
"48105","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48105","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48105","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48105","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48105","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48105","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48105","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48105","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48105","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48105","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"48120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48120","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48120","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48120","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48120","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48140","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48140","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48140","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48140","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48140","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48140","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48140","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48140","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48140","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48140","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48145","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48145","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48145","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48145","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48145","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48145","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48145","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48145","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48145","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48145","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48146","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48146","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48146","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,
"48146","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,12.00,"090",,,
"48146","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,8.00,"090",,,
"48146","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,,
"48146","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,4.00,"090",,,
"48146","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,80.00,"090",,,
"48146","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,4.00,"090",,,
"48146","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"48146","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"090",,,
"48146","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,,
"48148","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48148","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48148","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48148","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48148","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48148","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48148","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48148","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48148","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48148","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48148","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48150","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48150","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.00,"090",,,
"48150","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,15.00,"090",,,
"48150","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"48150","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"48150","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,5.00,"090",,,
"48150","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,100.00,"090",,,
"48150","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,5.00,"090",,,
"48150","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"48150","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,5.00,"090",,,
"48150","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"48152","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48152","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48152","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.00,"090",,,
"48152","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,15.00,"090",,,
"48152","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"48152","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"48152","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,5.00,"090",,,
"48152","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,100.00,"090",,,
"48152","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,5.00,"090",,,
"48152","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"48152","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,5.00,"090",,,
"48152","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"48153","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48153","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48153","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.00,"090",,,
"48153","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,15.00,"090",,,
"48153","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"48153","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"48153","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,5.00,"090",,,
"48153","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,100.00,"090",,,
"48153","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,5.00,"090",,,
"48153","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"48153","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,5.00,"090",,,
"48153","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"48154","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48154","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48154","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.00,"090",,,
"48154","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,15.00,"090",,,
"48154","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"48154","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"48154","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,5.00,"090",,,
"48154","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,100.00,"090",,,
"48154","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,5.00,"090",,,
"48154","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"48154","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,5.00,"090",,,
"48154","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"48155","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"48155","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48155","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.00,"090",,,
"48155","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,15.00,"090",,,
"48155","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,10.00,"090",,,
"48155","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,,
"48155","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,5.00,"090",,,
"48155","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,100.00,"090",,,
"48155","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,5.00,"090",,,
"48155","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,30.00,"090",,,
"48155","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,5.00,"090",,,
"48155","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"48160","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"48400","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"48500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48500","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48500","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48500","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48500","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48500","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48500","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48500","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48500","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48500","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48500","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,2.00,"090",,,
"48510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48510","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48510","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48510","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48510","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48510","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48510","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48510","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48510","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48510","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48510","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48510","RUC","Pharmacy, NonRx","SJ050","stoma pouch and wafer","item",8.00,,2.00,"090",,,
"48511","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"48511","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"48511","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"48511","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"48511","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"48511","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"48511","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"48511","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"48511","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"48511","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"48520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"48520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48520","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48520","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48520","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48520","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48520","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48520","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48520","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48520","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48520","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"48540","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48540","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48540","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48540","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48540","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48540","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48540","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48540","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48540","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48540","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48545","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48545","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48545","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48545","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48545","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48545","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48545","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48547","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48547","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48547","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48547","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48547","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48547","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48547","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48547","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48548","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"48548","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"48548","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"48548","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,,2.00,"090",,,
"48548","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"48548","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"48548","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"48548","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"48548","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,1.00,"090",,,
"48548","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,6.00,"090",,,
"48548","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"48550","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"48551","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"48552","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"48554","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,10.00,"090",,"Mar04","T"
"48554","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"48556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","T"
"48556","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"48999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"49000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49000","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49002","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"49020","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49021","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"49021","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"49021","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"49021","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"49021","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"49021","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"49021","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"49021","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"49021","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"49021","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"49040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49040","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49041","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"49041","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"49041","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"49041","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"49041","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"49041","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"49041","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"49041","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"49041","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"49041","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"49060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49060","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49061","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"49061","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"49061","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"49061","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"49061","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"49061","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"49061","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"49061","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"49061","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"49061","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"49062","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49062","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","49060",,
"49082","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 13"
"49082","RUC","Kit, Pack, Tray","SA070","tray, thoracentesis","tray",37.38,1.00,,"000",,"CPT12","May 13"
"49082","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT12","May 13"
"49082","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT12","May 13"
"49082","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT12","May 13"
"49082","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 13"
"49082","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,5.00,,"000",,"CPT12","May 13"
"49083","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","May 13"
"49083","RUC","Kit, Pack, Tray","SA070","tray, thoracentesis","tray",37.38,1.00,,"000",,"CPT12","May 13"
"49083","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT12","May 13"
"49083","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT12","May 13"
"49083","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT12","May 13"
"49083","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT12","May 13"
"49083","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT12","May 13"
"49083","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,5.00,,"000",,"CPT12","May 13"
"49083","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,30.00,,"000",,"CPT12","May 13"
"49083","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"000",,"CPT12","May 13"
"49083","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,,"000",,"CPT12","May 13"
"49083","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"000",,"CPT12","May 13"
"49083","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"000",,"CPT12","May 13"
"49084","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","May 13"
"49180","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,,"000",,,
"49180","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"000",,,
"49180","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"49180","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"49180","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,,
"49180","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"000",,,
"49180","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"49180","RUC","Hypodermic, IV","SC033","needle, biopsy, spring-loaded","item",19.00,1.00,,"000",,,
"49180","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"49180","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"49180","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"49180","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"49180","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"000",,,
"49180","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,,"000",,,
"49203","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","29"
"49203","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","29"
"49204","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","29"
"49204","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","29"
"49205","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","29"
"49205","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT08","29"
"49215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49215","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"49215","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"49220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49220","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49250","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49255","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49255","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"49320","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"49321","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"49321","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"49322","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"49322","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"49323","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","56313",,
"49323","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","56313",,
"49324","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"CPT07",
"49324","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"CPT07",
"49325","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"CPT07",
"49325","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"CPT07",
"49326","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT07",
"49329","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"49400","RUC","Kit, Pack, Tray","SA060","tray, arthrogram","tray",18.83,1.00,0.00,"000",,"Mar04","R"
"49400","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar04","R"
"49400","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","R"
"49400","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Mar04","R"
"49400","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Mar04","R"
"49402","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49402","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49411","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT10","2"
"49411","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"CPT10","2"
"49411","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"000",,"CPT10","2"
"49411","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT10","2"
"49411","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,0.00,"000",,"CPT10","2"
"49411","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"CPT10","2"
"49411","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"000",,"CPT10","2"
"49411","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT10","2"
"49418","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","29"
"49418","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","29"
"49418","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,,"000",,"CPT11","29"
"49418","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,"CPT11","29"
"49418","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT11","29"
"49418","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","29"
"49418","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000",,"CPT11","29"
"49418","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,"CPT11","29"
"49418","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,"CPT11","29"
"49418","RUC","Hypodermic, IV","SC097","Peritoneal Dialysis Catheter","item",487.00,1.00,,"000",,"CPT11","29"
"49418","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,,"000",,"CPT11","29"
"49418","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,,"000",,"CPT11","29"
"49418","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,,"000",,"CPT11","29"
"49418","RUC","Accessory, Procedure","SD257","Tunneler","item",,1.00,,"000",,"CPT11","29"
"49418","RUC","Accessory, Procedure","SD259","Peritoneal Dialysis Sterile Solution (1500 ml)","item",6.37,1.00,,"000",,"CPT11","29"
"49418","RUC","Accessory, Procedure","SD260","Y-set connection tubing","item",151.00,1.00,,"000",,"CPT11","29"
"49418","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT11","29"
"49418","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"000",,"CPT11","29"
"49418","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,32.00,,"000",,"CPT11","29"
"49418","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,"CPT11","29"
"49418","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,,"000",,"CPT11","29"
"49418","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"000",,"CPT11","29"
"49418","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,,"000",,"CPT11","29"
"49418","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"000",,"CPT11","29"
"49419","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"49419","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"49419","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,,1.00,"090",,,
"49419","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,2.00,"090",,,
"49419","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,,1.00,"090",,,
"49419","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,,2.00,"090",,,
"49421","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"000",,"CPT11","29"
"49422","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"49422","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"49423","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"49423","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"49423","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"49423","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"49423","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"Jan04","9"
"49423","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"49423","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"49424","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"49424","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"49424","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"49424","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"49424","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"49424","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"49424","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"49424","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"Jan04","9"
"49424","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"49424","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"49425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49425","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49426","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49426","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49427","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","E"
"49428","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Feb05",
"49428","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,"Feb05",
"49429","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"49429","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"49435","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT07",
"49436","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"CPT07",
"49440","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"010",,"CPT08","30"
"49440","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"010",,"CPT08","30"
"49440","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT08","30"
"49440","RUC","Accessory, Procedure","SC090","tube, gastrostomy","item",97.00,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"010",,"CPT08","30"
"49440","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"CPT08","30"
"49440","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"010",,"CPT08","30"
"49440","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"010",,"CPT08","30"
"49440","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"010",,"CPT08","30"
"49440","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"010",,"CPT08","30"
"49441","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"010",,"CPT08","30"
"49441","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT08","30"
"49441","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"010",,"CPT08","30"
"49441","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Accessory, Procedure","SD243","tube, jejunostomy","item",97.50,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"CPT08","30"
"49441","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"010",,"CPT08","30"
"49441","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"010",,"CPT08","30"
"49441","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"010",,"CPT08","30"
"49441","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"010",,"CPT08","30"
"49442","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"010",,"CPT08","30"
"49442","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT08","30"
"49442","RUC","Accessory, Procedure","SC090","tube, gastrostomy","item",97.00,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"010",,"CPT08","30"
"49442","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"010",,"CPT08","30"
"49442","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"010",,"CPT08","30"
"49442","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"010",,"CPT08","30"
"49442","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"010",,"CPT08","30"
"49442","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"010",,"CPT08","30"
"49446","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT08","30"
"49446","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"CPT08","30"
"49446","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT08","30"
"49446","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"000",,"CPT08","30"
"49446","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Accessory, Procedure","SD243","tube, jejunostomy","item",97.50,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"CPT08","30"
"49446","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT08","30"
"49446","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"CPT08","30"
"49446","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"CPT08","30"
"49446","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","30"
"49450","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"CPT08","30"
"49450","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT08","30"
"49450","RUC","Accessory, Procedure","SC090","tube, gastrostomy","item",97.00,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"000",,"CPT08","30"
"49450","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"CPT08","30"
"49450","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT08","30"
"49450","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"CPT08","30"
"49450","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"CPT08","30"
"49450","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","30"
"49451","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"CPT08","30"
"49451","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT08","30"
"49451","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"000",,"CPT08","30"
"49451","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Accessory, Procedure","SD243","tube, jejunostomy","item",97.50,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"CPT08","30"
"49451","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT08","30"
"49451","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"CPT08","30"
"49451","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"CPT08","30"
"49451","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","30"
"49452","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"CPT08","30"
"49452","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT08","30"
"49452","RUC","Accessory, Procedure","SC090","tube, gastrostomy","item",97.00,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"000",,"CPT08","30"
"49452","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Accessory, Procedure","SD243","tube, jejunostomy","item",97.50,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"CPT08","30"
"49452","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT08","30"
"49452","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"CPT08","30"
"49452","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"CPT08","30"
"49452","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","30"
"49460","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"CPT08","30"
"49460","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT08","30"
"49460","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,2.00,0.00,"000",,"CPT08","30"
"49460","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Accessory, Procedure","SD174","guidewire, steerable (Hi-Torque)","item",90.00,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Accessory, Procedure","SD176","guidewire, torque","item",41.00,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Accessory, Procedure","SD206","sheath, peel away","item",68.99,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"CPT08","30"
"49460","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,4.00,0.00,"000",,"CPT08","30"
"49460","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"CPT08","30"
"49460","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"CPT08","30"
"49460","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","30"
"49465","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT08","30"
"49465","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"000",,"CPT08","30"
"49465","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"000",,"CPT08","30"
"49465","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","30"
"49491","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"49491","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"49492","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"49492","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"49495","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"49495","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49496","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49496","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49501","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Jan04","19"
"49505","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Jan04","19"
"49507","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49507","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49521","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49521","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49525","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49540","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49550","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49553","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49553","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49555","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49557","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49557","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49560","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49561","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49561","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49565","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49566","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49566","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49568","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"49570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49570","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49572","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49572","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49580","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49580","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49582","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49582","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49585","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49587","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49587","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49590","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"49590","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49600","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49605","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49611","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49611","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"49650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49651","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"49651","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"49652","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","15"
"49652","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","15"
"49653","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","15"
"49653","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","15"
"49654","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","15"
"49654","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","15"
"49655","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","15"
"49655","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","15"
"49656","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","15"
"49656","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","15"
"49657","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT09","15"
"49657","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"CPT09","15"
"49659","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"49900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"49900","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"49904","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"49904","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"49904","RUC","Wound Care, Dressings","SG013","bandage, elastic wrap 6in (Ace)","item",1.53,,5.00,"090",,,
"49904","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,5.00,"090",,,
"49904","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,10.00,"090",,,
"49904","RUC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,,5.00,"090",,,
"49905","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"49906","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"49999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"50010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50020","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50021","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"50021","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"50021","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"50021","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"50021","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"50021","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"50021","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"50021","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"50021","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"50021","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"50040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50040","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50045","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50060","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50065","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50065","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50070","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50070","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50075","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50075","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50080","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50080","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50081","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50081","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50100","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50125","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50125","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50130","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50135","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50200","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Oct08","13"
"50200","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Oct08","13"
"50200","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,"Oct08","13"
"50200","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Hypodermic, IV","SC033","needle, biopsy, spring-loaded","item",19.00,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Oct08","13"
"50200","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"000",,"Oct08","13"
"50200","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Oct08","13"
"50200","RUC","Lab","SL040","cytology, preservative and vial (Preserv-cyt)","item",0.80,3.00,0.00,"000",,"Oct08","13"
"50205","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Aug03","6"
"50205","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50220","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50225","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50225","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50230","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50234","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50234","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50236","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50236","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,2.00,"090",,"Aug03","6"
"50240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50240","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","88170","RUC05",
"50250","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"RUC05",
"50280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50280","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50290","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50290","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"50320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Mar04","T"
"50320","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50323","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"50325","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"50327","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"50328","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"50329","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"50340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","T"
"50340","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50360","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,9.00,"090",,"Mar04","T"
"50360","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50365","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,9.00,"090",,"Mar04","T"
"50365","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50370","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Mar04","T"
"50370","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50380","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,9.00,"090",,"Mar04","T"
"50380","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50382","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"RUC05",
"50382","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"RUC05",
"50382","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"RUC05",
"50382","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"RUC05",
"50382","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"RUC05",
"50382","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"RUC05",
"50382","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"RUC05",
"50382","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"RUC05",
"50382","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"RUC05",
"50382","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"RUC05",
"50382","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"RUC05",
"50382","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"RUC05",
"50382","RUC","Accessory, Procedure","SD218","stent, ureteral, without guidewire","item",162.00,1.00,0.00,"000",,"RUC05",
"50382","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"RUC05",
"50382","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"RUC05",
"50382","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"RUC05",
"50382","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"RUC05",
"50382","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"RUC05",
"50382","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"RUC05",
"50382","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"RUC05",
"50382","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"50382","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,"RUC05",
"50382","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"RUC05",
"50382","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"50382","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"RUC05",
"50382","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"50384","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"RUC05",
"50384","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"RUC05",
"50384","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"RUC05",
"50384","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"RUC05",
"50384","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"RUC05",
"50384","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"RUC05",
"50384","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"RUC05",
"50384","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"RUC05",
"50384","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"RUC05",
"50384","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"RUC05",
"50384","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"RUC05",
"50384","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"RUC05",
"50384","RUC","Accessory, Procedure","SD218","stent, ureteral, without guidewire","item",162.00,0.00,0.00,"000",,"RUC05",
"50384","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"RUC05",
"50384","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"RUC05",
"50384","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"RUC05",
"50384","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"RUC05",
"50384","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"RUC05",
"50384","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"RUC05",
"50384","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"RUC05",
"50384","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"50384","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,"RUC05",
"50384","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"RUC05",
"50384","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"50384","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"RUC05",
"50384","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"50385","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT08","31"
"50385","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Accessory, Procedure","SD218","stent, ureteral, without guidewire","item",162.00,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"CPT08","31"
"50385","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT08","31"
"50385","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,4.00,0.00,"000",,"CPT08","31"
"50385","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT08","31"
"50385","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"CPT08","31"
"50385","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","31"
"50385","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"CPT08","31"
"50385","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT08","31"
"50386","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"CPT08","31"
"50386","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT08","31"
"50386","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,4.00,0.00,"000",,"CPT08","31"
"50386","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT08","31"
"50386","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"CPT08","31"
"50386","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"CPT08","31"
"50386","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"CPT08","31"
"50386","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT08","31"
"50387","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"RUC05",
"50387","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"RUC05",
"50387","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"RUC05",
"50387","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"RUC05",
"50387","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"RUC05",
"50387","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"RUC05",
"50387","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"RUC05",
"50387","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"RUC05",
"50387","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"RUC05",
"50387","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"RUC05",
"50387","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"RUC05",
"50387","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"RUC05",
"50387","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"RUC05",
"50387","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"RUC05",
"50387","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"RUC05",
"50387","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"RUC05",
"50387","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"RUC05",
"50387","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"RUC05",
"50387","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"RUC05",
"50387","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"50387","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,"RUC05",
"50387","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"RUC05",
"50387","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"50387","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"RUC05",
"50387","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"50389","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"RUC05",
"50389","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"RUC05",
"50389","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"RUC05",
"50389","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"RUC05",
"50389","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"RUC05",
"50389","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"RUC05",
"50389","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"RUC05",
"50389","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"RUC05",
"50389","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"RUC05",
"50389","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"RUC05",
"50389","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"RUC05",
"50389","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"RUC05",
"50389","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"RUC05",
"50389","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"RUC05",
"50389","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"RUC05",
"50389","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"RUC05",
"50389","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"RUC05",
"50389","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"RUC05",
"50389","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"RUC05",
"50389","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"000",,"RUC05",
"50389","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"000",,"RUC05",
"50389","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"000",,"RUC05",
"50389","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"000",,"RUC05",
"50389","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"RUC05",
"50390","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Jan04","7"
"50391","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"50391","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,,
"50391","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,,
"50391","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,,
"50391","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"50391","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"50391","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,,
"50391","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"50391","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,,
"50391","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"000",,,
"50391","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"50392","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","V"
"50393","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","V"
"50394","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"50394","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"50394","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Mar04","V"
"50394","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"50394","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Mar04","V"
"50394","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Mar04","V"
"50394","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Mar04","V"
"50394","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Mar04","V"
"50395","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","V"
"50396","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Mar04","V"
"50398","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"50398","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"50398","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"50398","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"50398","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"Jan04","9"
"50398","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"50398","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"50400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50400","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50405","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50525","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50526","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50526","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50540","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50541","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Aug03","6"
"50541","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50542","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50542","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50543","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"50543","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"50543","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"50544","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Aug03","6"
"50544","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Aug03","6"
"50545","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50546","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50546","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50547","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","T"
"50547","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Mar04","T"
"50548","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Aug03","6"
"50548","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50549","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"50551","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50551","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50551","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50551","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50551","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50551","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50553","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50553","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50553","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50553","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50553","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50553","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50555","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50555","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50555","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50555","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50557","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50557","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50557","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50557","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50557","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50557","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50561","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50561","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50561","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50561","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50561","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50561","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50562","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50570","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50572","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50574","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50575","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50576","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50580","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50590","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"CPT13","May 46"
"50592","RUC","Kit, Pack, Tray","SA026","kit, radiofrequency introducer","kit",50.00,1.00,0.00,"010",,"RUC05",
"50592","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"RUC05",
"50592","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"RUC05",
"50592","RUC","Kit, Pack, Tray","SA061","tray, biopsy procedure","tray",14.65,1.00,0.00,"010",,"RUC05",
"50592","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"010",,"RUC05",
"50592","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"RUC05",
"50592","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"RUC05",
"50592","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"RUC05",
"50592","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"010",,"RUC05",
"50592","RUC","Accessory, Procedure","SD109","probe, radiofrequency, 3 array (StarBurstSDE)","item",1995.00,1.00,0.00,"010",,"RUC05",
"50592","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"RUC05",
"50592","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"RUC05",
"50592","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"010",,"RUC05",
"50592","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"010",,"RUC05",
"50592","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"010",,"RUC05",
"50592","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"RUC05",
"50592","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"RUC05",
"50592","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"RUC05",
"50592","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"010",,"RUC05",
"50592","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,"RUC05",
"50592","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,0.00,"010",,"RUC05",
"50592","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"RUC05",
"50592","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"010",,"RUC05",
"50593","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT08","C"
"50593","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"010",,"CPT08","C"
"50593","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"010",,"CPT08","C"
"50593","RUC","Accessory, Procedure","SD079","gas, helium","cu ft",0.25,,0.00,"010",,"CPT08","C"
"50593","RUC","Accessory, Procedure","SD227","gas, argon","cu ft",0.25,,0.00,"010",,"CPT08","C"
"50593","RUC","Accessory, Procedure","SD233","probe, cryoablation, renal","item",1175.00,2.50,0.00,"010",,"CPT08","C"
"50593","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"010",,"CPT08","C"
"50593","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"010",,"CPT08","C"
"50593","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"CPT08","C"
"50593","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"010",,"CPT08","C"
"50593","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"010",,"CPT08","C"
"50593","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"010",,"CPT08","C"
"50593","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"010",,"CPT08","C"
"50600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50600","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50605","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50610","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50620","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Aug03","6"
"50630","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50660","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50684","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","18"
"50684","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Mar03","18"
"50684","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar04","V"
"50684","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"Mar03","18"
"50684","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"Mar03","18"
"50684","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Mar04","V"
"50684","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Mar04","V"
"50684","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","V"
"50684","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar04","V"
"50684","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Mar04","V"
"50684","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar04","V"
"50684","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"000",,"Mar04","V"
"50684","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000",,"Mar03","18"
"50684","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar04","V"
"50684","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Mar04","V"
"50686","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"50686","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar04","V"
"50686","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Mar04","V"
"50686","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Mar04","V"
"50686","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","V"
"50686","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar04","V"
"50686","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Mar04","V"
"50686","RUC","Hypodermic, IV","SC048","spinal manometer","item",26.32,1.00,0.00,"000",,"Mar04","V"
"50686","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar04","V"
"50686","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,0.00,"000",,"Mar04","V"
"50686","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar04","V"
"50686","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Mar04","V"
"50688","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,"Mar04","V"
"50690","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar04","V"
"50690","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Mar04","V"
"50690","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"000",,"Mar04","V"
"50690","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar04","V"
"50690","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar04","V"
"50690","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"50690","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"Mar04","V"
"50690","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Mar04","V"
"50690","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"Mar04","V"
"50690","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar04","V"
"50690","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"000",,"Mar04","V"
"50690","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,0.00,"000",,"Mar04","V"
"50690","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Mar04","V"
"50700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50715","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50715","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50722","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50722","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50725","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50725","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50727","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50727","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50728","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50728","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50740","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50750","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50750","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50770","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50770","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50780","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50780","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50782","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50782","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50783","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50783","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50785","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50785","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.50,"090",,"Aug03","6"
"50810","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50815","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50815","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Aug03","6"
"50820","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50825","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50830","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Aug03","6"
"50840","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Aug03","6"
"50845","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50860","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50900","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50920","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50920","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50930","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50930","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50940","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50940","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50945","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Aug03","6"
"50945","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50947","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Aug03","6"
"50947","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50948","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Aug03","6"
"50948","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Aug03","6"
"50949","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"50951","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50951","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50951","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50951","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50951","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50951","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50953","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50953","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50953","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50953","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50953","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50953","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50955","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50955","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50955","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50955","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50955","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50955","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50957","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50957","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50957","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50957","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50957","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50957","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50961","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Aug03","6"
"50961","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Aug03","6"
"50961","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Aug03","6"
"50961","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Aug03","6"
"50961","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Aug03","6"
"50961","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Aug03","6"
"50970","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50972","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50974","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50976","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"50980","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","6"
"51020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51020","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51020","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51020","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51030","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51030","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51030","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"51040","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51040","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51040","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"51045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51045","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51045","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51045","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51050","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"51050","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51050","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51050","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"51060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51060","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51060","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51060","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51065","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51065","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51065","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51065","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51080","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"51080","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51080","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51080","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"CPT08","rn"
"51100","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Kit, Pack, Tray","SA006","kit, catheter, suprapubic","kit",34.75,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Cutters, Closures, Cautery","SF038","suture, prolene, 3-0 to 7-0, p, ps, pc","item",8.76,1.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"CPT08","rn"
"51101","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,0.00,"000",,"CPT08","rn"
"51102","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT08","rn"
"51102","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,"CPT08","rn"
"51102","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"010",,"CPT08","rn"
"51102","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,"CPT08","rn"
"51102","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT08","rn"
"51102","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"010",,"CPT08","rn"
"51102","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,"CPT08","rn"
"51102","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"010",,"CPT08","rn"
"51102","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,"CPT08","rn"
"51102","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,"CPT08","rn"
"51102","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT08","rn"
"51102","RUC","Accessory, Procedure","SD034","catheter, ureteral, Stamey open-tip","item",27.00,1.00,,"010",,"CPT08","rn"
"51102","RUC","Cutters, Closures, Cautery","SF038","suture, prolene, 3-0 to 7-0, p, ps, pc","item",8.76,1.00,,"010",,"CPT08","rn"
"51102","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"010",,"CPT08","rn"
"51102","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,"CPT08","rn"
"51102","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,"CPT08","rn"
"51102","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"010",,"CPT08","rn"
"51102","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"010",,"CPT08","rn"
"51500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51500","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"51500","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,"Apr06","J"
"51500","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,"Apr06","J"
"51520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51520","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51520","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51520","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51525","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51525","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51525","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51525","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51530","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51530","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51535","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51535","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51550","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51550","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51555","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51555","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"51565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51565","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51565","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"51570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51570","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51570","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,0.30,"090",,"Apr06","J"
"51570","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51575","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51575","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51575","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,0.30,"090",,"Apr06","J"
"51575","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51580","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"51580","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51580","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,0.30,"090",,"Apr06","J"
"51580","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"51585","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51585","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,0.30,"090",,"Apr06","J"
"51585","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51590","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51590","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51590","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,0.30,"090",,"Apr06","J"
"51590","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51595","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51595","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51595","RUC","Pharmacy, NonRx","SJ049","stoma adhesive","oz",4.38,,0.30,"090",,"Apr06","J"
"51595","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51596","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"51596","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51596","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"51597","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"51597","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51597","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51600","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"51600","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"51600","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,,
"51600","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"000",,,
"51600","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"51600","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"51600","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,,
"51600","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"51600","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"51600","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,2.00,,"000",,,
"51600","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"51600","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"000",,,
"51600","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"51605","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"51605","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"51605","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,,
"51605","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,,
"51605","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"51605","RUC","Gown, Drape","SB026","gown, patient","item",0.53,3.00,,"000",,,
"51605","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000",,,
"51605","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,,
"51605","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,,
"51605","RUC","Hypodermic, IV","SC041","needle, arterial (Seldinger)","item",5.17,1.00,0.00,"000",,,
"51605","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"51605","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"000",,,
"51605","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,3.00,,"000",,,
"51605","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"51605","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,,"000",,,
"51605","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,,"000",,,
"51605","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"000",,,
"51605","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,,
"51605","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"51605","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,,
"51610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"51610","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"51610","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"51610","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"51610","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"000",,,
"51700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"51700","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"51700","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"51700","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"51700","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"51700","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"51700","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"51700","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"51700","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"51700","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,"000",,,
"51700","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,"000",,,
"51700","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"51700","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"51700","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"51700","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"51701","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"51701","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"51701","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"51701","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"51701","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"51701","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"51701","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"51701","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"51701","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"51701","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"51701","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"000",,,
"51701","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"51701","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"51701","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"51702","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"000",,,
"51702","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"51702","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"51702","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"51702","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"51702","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"51702","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"51702","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"51702","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"51702","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"51702","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"51702","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"000",,,
"51702","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"51702","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"51702","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"51703","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"51703","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"51703","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"51703","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"51703","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"51703","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"51703","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"51703","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"51703","RUC","Accessory, Procedure","SD014","catheter stylet","item",6.93,1.00,,"000",,,
"51703","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"51703","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"51703","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"000",,,
"51703","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"51703","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"51703","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"51705","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"CPT12","5 Year"
"51705","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,0.00,0.00,"010",,"CPT12","5 Year"
"51705","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"51705","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"51705","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,"010",,,
"51705","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"010",,,
"51705","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,,"010",,,
"51705","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,8.00,,"010",,,
"51705","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"51705","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"51705","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,30.00,,"010",,,
"51705","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,15.00,,"010",,,
"51705","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"010",,,
"51705","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"010",,,
"51705","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,0.00,0.00,"010",,"CPT12","5 Year"
"51705","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.00,0.00,"010",,"CPT12","5 Year"
"51710","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"CPT12","5 Year"
"51710","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,,,"010",,"CPT12","5 Year"
"51710","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,,"010",,"CPT12","5 Year"
"51710","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,,,"010",,"CPT12","5 Year"
"51710","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,,"010",,"CPT12","5 Year"
"51710","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,,,"010",,"CPT12","5 Year"
"51710","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,,,"010",,"CPT12","5 Year"
"51710","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,,,"010",,"CPT12","5 Year"
"51710","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,,"010",,"CPT12","5 Year"
"51710","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,,"010",,"CPT12","5 Year"
"51710","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,,,"010",,"CPT12","5 Year"
"51710","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,,"010",,"CPT12","5 Year"
"51710","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,,"010",,"CPT12","5 Year"
"51715","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"51715","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Apr06","J"
"51715","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Apr06","J"
"51715","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"Apr06","J"
"51715","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"000",,"Apr06","J"
"51715","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"000",,"Apr06","J"
"51720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"51720","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"51720","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"51720","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"51720","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"51720","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"51720","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"000",,,
"51720","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"51720","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,,
"51720","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,"000",,,
"51720","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"51720","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"51720","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,,
"51720","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,0.00,"000",,,
"51725","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"51725","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"51725","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,,
"51725","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"51725","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,,
"51725","RUC","Hypodermic, IV","SC048","spinal manometer","item",26.32,1.00,0.00,"000",,,
"51725","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,,
"51725","RUC","Accessory, Procedure","SD012","catheter adapter","item",2.30,1.00,0.00,"000",,,
"51725","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,3.00,0.00,"000",,,
"51725","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"51725","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"51726","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"51726","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"51726","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,,
"51726","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"51726","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,,
"51726","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,,
"51726","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"51726","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,,
"51726","RUC","Accessory, Procedure","SD027","catheter, pressure, urodynamic","item",13.73,1.00,0.00,"000",,,
"51726","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,1.00,0.00,"000",,,
"51726","RUC","Accessory, Procedure","SD128","tubing, for pump head","item",4.60,1.00,0.00,"000",,,
"51726","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,2.00,0.00,"000",,,
"51726","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"51726","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"51727","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"CPT10","32"
"51727","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"000",,"CPT10","32"
"51727","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT10","32"
"51727","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,"CPT10","32"
"51727","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD017","catheter, balloon, rectal pressure","item",20.62,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD027","catheter, pressure, urodynamic","item",13.73,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,3.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,2.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD128","tubing, for pump head","item",4.60,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,3.00,0.00,"000",,"CPT10","32"
"51727","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,2.00,0.00,"000",,"CPT10","32"
"51727","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT10","32"
"51727","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT10","32"
"51727","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,5.00,0.00,"000",,"CPT10","32"
"51727","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT10","32"
"51727","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,0.00,"000",,"CPT10","32"
"51728","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"CPT10","32"
"51728","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"000",,"CPT10","32"
"51728","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT10","32"
"51728","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,"CPT10","32"
"51728","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD017","catheter, balloon, rectal pressure","item",20.62,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD027","catheter, pressure, urodynamic","item",13.73,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,2.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD128","tubing, for pump head","item",4.60,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,3.00,0.00,"000",,"CPT10","32"
"51728","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,2.00,0.00,"000",,"CPT10","32"
"51728","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT10","32"
"51728","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT10","32"
"51728","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,5.00,0.00,"000",,"CPT10","32"
"51728","RUC","Lab","SL018","beaker, 250 ml","item",0.85,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT10","32"
"51728","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,0.00,"000",,"CPT10","32"
"51729","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"CPT10","32"
"51729","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"000",,"CPT10","32"
"51729","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT10","32"
"51729","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,"CPT10","32"
"51729","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD017","catheter, balloon, rectal pressure","item",20.62,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD027","catheter, pressure, urodynamic","item",13.73,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,3.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,2.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD128","tubing, for pump head","item",4.60,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,3.00,0.00,"000",,"CPT10","32"
"51729","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,2.00,0.00,"000",,"CPT10","32"
"51729","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"CPT10","32"
"51729","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT10","32"
"51729","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,5.00,0.00,"000",,"CPT10","32"
"51729","RUC","Lab","SL018","beaker, 250 ml","item",0.85,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT10","32"
"51729","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,0.00,"000",,"CPT10","32"
"51736","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","Oct 5"
"51736","RUC","Lab","SL018","beaker, 250 ml","item",0.85,1.00,,"XXX",,"CPT12","Oct 5"
"51741","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","Oct 5"
"51741","RUC","Office Supply, Grocery","SK060","paper, recording, roll (per foot)","foot",0.08,1.00,,"XXX",,"CPT12","Oct 5"
"51741","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,4.00,,"XXX",,"CPT12","Oct 5"
"51741","RUC","Lab","SL018","beaker, 250 ml","item",0.85,1.00,,"XXX",,"CPT12","Oct 5"
"51741","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,1.00,,"XXX",,"CPT12","Oct 5"
"51741","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT12","Oct 5"
"51784","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"51784","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"51784","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,,
"51784","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,3.00,0.00,"000",,,
"51784","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"51784","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,,
"51784","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"51785","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"51785","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"51785","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"51785","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,,
"51785","RUC","Accessory, Procedure","SD051","electrode needle, monopolar EMG w-lead","item",3.03,2.00,0.00,"000",,,
"51785","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,1.00,0.00,"000",,,
"51785","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"51785","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,,
"51785","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"51792","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"51792","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"51792","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,,
"51792","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"51792","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"000",,,
"51792","RUC","Hypodermic, IV","SC048","spinal manometer","item",26.32,1.00,0.00,"000",,,
"51792","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,,
"51792","RUC","Accessory, Procedure","SD012","catheter adapter","item",2.30,1.00,0.00,"000",,,
"51792","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"000",,,
"51792","RUC","Accessory, Procedure","SD056","electrode, EMG sponge","item",6.46,1.00,0.00,"000",,,
"51792","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,3.00,0.00,"000",,,
"51792","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"51792","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"51797","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Accessory, Procedure","SD017","catheter, balloon, rectal pressure","item",20.62,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"ZZZ",,"CPT08","A*"
"51797","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"ZZZ",,"CPT08","A*"
"51798","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"51798","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,0.00,"XXX",,,
"51798","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,,
"51798","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,10.00,0.00,"XXX",,,
"51798","RUC","Office Supply, Grocery","SK060","paper, recording, roll (per foot)","foot",0.08,1.00,0.00,"XXX",,,
"51798","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,1.00,0.00,"XXX",,,
"51798","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,0.00,"XXX",,,
"51800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51800","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51800","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51800","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"51820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51820","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51820","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"51820","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"51840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"51840","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.50,"090",,,
"51840","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51840","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.50,"090",,,
"51841","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"51841","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.50,"090",,,
"51841","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"51841","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.50,"090",,,
"51845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51845","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51845","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51860","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51860","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51860","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,,
"51865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51865","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51865","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51865","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,,
"51880","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"51880","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51880","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"51880","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"51900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51900","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51900","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"51900","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51920","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51920","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51920","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51920","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51925","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51925","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,4.00,"090",,"Apr06","J"
"51925","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51925","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,"Apr06","J"
"51940","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51940","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51940","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51940","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"51960","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"51960","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51960","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51960","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"51980","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"51980","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"51980","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"51980","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"51990","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"51990","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"51990","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,8.00,"090",,,
"51990","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,,
"51992","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"51992","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"51992","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,8.00,"090",,,
"51992","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,,
"51999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,"RUC05",
"52000","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"52000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"52000","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"52000","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"52000","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,,
"52000","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"52001","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"52001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"52001","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,"000",,,
"52001","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"000",,,
"52001","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"52001","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,,"000",,,
"52001","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,"000",,,
"52001","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,3.00,,"000",,,
"52001","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"52001","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"000",,,
"52005","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"52005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"52005","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,"000",,,
"52005","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,,"000",,,
"52005","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"52005","RUC","Accessory, Procedure","SD015","catheter tip adapter","item",0.99,1.00,,"000",,,
"52005","RUC","Accessory, Procedure","SD033","catheter, ureteral, open-ended","item",15.00,1.00,,"000",,,
"52005","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"52007","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52007","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Accessory, Procedure","SD015","catheter tip adapter","item",0.99,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Accessory, Procedure","SD033","catheter, ureteral, open-ended","item",15.00,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Accessory, Procedure","SD157","catheter, ureteral, acorn tip","item",9.55,1.00,0.00,"000",,"Mar04","V"
"52007","RUC","Accessory, Procedure","SD167","endoscopic deflecting brush","item",73.50,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52010","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Accessory, Procedure","SD015","catheter tip adapter","item",0.99,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Accessory, Procedure","SD033","catheter, ureteral, open-ended","item",15.00,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Mar04","V"
"52010","RUC","Accessory, Procedure","SD157","catheter, ureteral, acorn tip","item",9.55,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52204","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Accessory, Procedure","SD033","catheter, ureteral, open-ended","item",15.00,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Accessory, Procedure","SD164","electrode, Bugbee","item",115.00,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Mar04","V"
"52204","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,"Mar04","V"
"52214","RUC","Kit, Pack, Tray","SA027","kit, scissors and clamp","kit",0.62,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Accessory, Procedure","SD015","catheter tip adapter","item",0.99,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Cutters, Closures, Cautery","SF028","laser tip (single use)","item",290.00,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,2.00,,,,"CPT13","Mar 5"
"52214","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,,,"CPT13","Mar 5"
"52214","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,4.00,,,,"CPT13","Mar 5"
"52224","RUC","Kit, Pack, Tray","SA027","kit, scissors and clamp","kit",0.62,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Accessory, Procedure","SD015","catheter tip adapter","item",0.99,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Cutters, Closures, Cautery","SF028","laser tip (single use)","item",290.00,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,2.00,,,,"CPT13","Mar 5"
"52224","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,,,"CPT13","Mar 5"
"52224","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,3.00,,,,"CPT13","Mar 5"
"52224","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,4.00,,,,"CPT13","Mar 5"
"52234","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52235","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52240","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52250","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52260","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52265","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52265","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52265","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52265","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52265","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52265","RUC","Accessory, Procedure","SD164","electrode, Bugbee","item",115.00,1.00,0.00,"000",,"Mar04","V"
"52265","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Mar04","V"
"52265","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"000",,"Mar04","V"
"52270","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52270","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52270","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52270","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52270","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,0.00,"000",,"Mar04","V"
"52270","RUC","Cutters, Closures, Cautery","SF045","blade, urethrotome","item",85.03,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52275","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Accessory, Procedure","SD074","filiform","item",9.19,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Accessory, Procedure","SD164","electrode, Bugbee","item",115.00,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"000",,"Mar04","V"
"52275","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,0.00,"000",,"Mar04","V"
"52276","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52277","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52281","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"52281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"52281","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,"000",,,
"52281","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,,"000",,,
"52281","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"52281","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,,
"52281","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,,"000",,,
"52281","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"52282","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52283","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"52283","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"52283","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"52283","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"52283","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,,
"52283","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,,
"52283","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,,
"52283","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"52285","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Apr06","J"
"52285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"52285","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,,
"52285","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,,
"52285","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,,
"52285","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"52287","RUC","Kit, Pack, Tray","SA027","kit, scissors and clamp","kit",0.62,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,"CPT13","May 18"
"52287","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,,"000",,"CPT13","May 18"
"52287","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,,"000",,"CPT13","May 18"
"52287","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Hypodermic, IV","SC099","needle, cystoscope","item",30.25,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,50.00,,"000",,"CPT13","May 18"
"52287","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,3.00,,"000",,"CPT13","May 18"
"52287","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"000",,"CPT13","May 18"
"52287","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,4.00,,"000",,"CPT13","May 18"
"52290","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52300","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52301","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52305","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52310","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52310","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52310","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52310","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52315","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52315","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Mar04","V"
"52315","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52315","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52315","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52315","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52315","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52317","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Cutters, Closures, Cautery","SF028","laser tip (single use)","item",290.00,1.00,0.00,"000",,"Mar04","V"
"52317","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,0.00,"000",,"Mar04","V"
"52318","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52320","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52325","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52327","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"AUA08","cm"
"52330","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52330","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Accessory, Procedure","SD015","catheter tip adapter","item",0.99,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Accessory, Procedure","SD033","catheter, ureteral, open-ended","item",15.00,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Accessory, Procedure","SD150","catheter, balloon ureteral (Dowd)","item",65.00,1.00,0.00,"000",,"Mar04","V"
"52330","RUC","Accessory, Procedure","SD157","catheter, ureteral, acorn tip","item",9.55,1.00,0.00,"000",,"Mar04","V"
"52332","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"000",,"Mar04","V"
"52332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"52332","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"Mar04","V"
"52332","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"000",,"Mar04","V"
"52332","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Mar04","V"
"52332","RUC","Accessory, Procedure","SD033","catheter, ureteral, open-ended","item",15.00,1.00,0.00,"000",,"Mar04","V"
"52332","RUC","Accessory, Procedure","SD239","stent, ureteral, w-guidewire, 3cm flexible tip","item",235.00,1.00,0.00,"000",,"Apr06","J"
"52334","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52341","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"52342","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"52343","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"52344","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"52345","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"52346","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Apr08","ss"
"52351","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52352","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52353","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52354","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52355","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"52402","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"52450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"52500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"52601","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"52630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"52640","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"52647","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"090",,,
"52647","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"090",,"Apr06","J"
"52647","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,,
"52647","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"090",,,
"52647","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"090",,,
"52647","RUC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,1.00,0.00,"090",,,
"52647","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"090",,,
"52647","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090",,,
"52647","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"090",,,
"52647","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,,
"52647","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"090",,,
"52647","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,,
"52647","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,,
"52647","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,10.00,0.00,"090",,,
"52647","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,0.00,"090",,,
"52647","RUC","Accessory, Procedure","SD129","tubing, irrigation (cysto)","item",5.07,1.00,0.00,"090",,,
"52647","RUC","Cutters, Closures, Cautery","SF030","laser tip, diffuser fiber","item",850.00,1.00,0.00,"090",,,
"52647","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,0.00,"090",,,
"52647","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,,
"52647","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"090",,,
"52647","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,2.00,0.00,"090",,,
"52647","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"090",,,
"52647","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,,
"52648","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"090","52647",,
"52648","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"090",,"Apr06","J"
"52648","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090","52647",,
"52648","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"090","52647",,
"52648","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"090","52647",,
"52648","RUC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,1.00,0.00,"090","52647",,
"52648","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"090","52647",,
"52648","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090","52647",,
"52648","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"090","52647",,
"52648","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090","52647",,
"52648","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"090","52647",,
"52648","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090","52647",,
"52648","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090","52647",,
"52648","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,10.00,0.00,"090","52647",,
"52648","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,0.00,"090","52647",,
"52648","RUC","Accessory, Procedure","SD129","tubing, irrigation (cysto)","item",5.07,1.00,0.00,"090","52647",,
"52648","RUC","Cutters, Closures, Cautery","SF030","laser tip, diffuser fiber","item",850.00,1.00,0.00,"090","52647",,
"52648","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,0.00,"090","52647",,
"52648","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090","52647",,
"52648","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"090","52647",,
"52648","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,2.00,0.00,"090","52647",,
"52648","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"090","52647",,
"52648","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090","52647",,
"52649","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"010",,"CPT12","5 Year"
"52649","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,,1.00,"010",,"CPT12","5 Year"
"52649","RUC","Office Supply, Grocery","SK060","paper, recording, roll (per foot)","foot",0.08,,2.00,"010",,"CPT12","5 Year"
"52649","RUC","Lab","SL018","beaker, 250 ml","item",0.85,,1.00,"010",,"CPT12","5 Year"
"52649","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,,1.00,"010",,"CPT12","5 Year"
"52649","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,1.00,"010",,"CPT12","5 Year"
"52700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"53000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"53000","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"53010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53010","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"53010","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,"Apr06","J"
"53020","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"53020","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53020","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"53020","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"53020","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"53020","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53020","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"53020","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"53020","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"53020","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"53020","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"53020","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"53020","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,,
"53020","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"53020","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"53020","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,10.00,,"000",,,
"53020","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"53020","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53020","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"53020","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"53020","RUC","Pharmacy, NonRx","SJ057","thermometer (single use)","item",0.10,1.00,,"000",,,
"53020","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53025","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"53025","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53025","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"53025","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"53025","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"53025","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53025","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"53025","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"53025","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"53025","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"53025","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"53025","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"53025","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,,
"53025","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"53025","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"53025","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,10.00,,"000",,,
"53025","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,5.00,,"000",,,
"53025","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"53025","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53025","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"53025","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"53025","RUC","Pharmacy, NonRx","SJ057","thermometer (single use)","item",0.10,1.00,,"000",,,
"53025","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53040","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"53060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"53060","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","V"
"53060","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"010",,"Mar04","V"
"53060","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"53060","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"53080","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53080","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53080","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,3.00,"090",,"Apr06","J"
"53080","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53085","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53085","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53085","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,,3.00,"090",,"Apr06","J"
"53085","RUC","Wound Care, Dressings","SG065","packing, gauze w-iodoform 1in (5 yd uou)","item",5.21,,1.00,"090",,"Apr06","J"
"53085","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,3.00,"090",,"Apr06","J"
"53085","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","V"
"53210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53210","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53210","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"53215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53215","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53215","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"53220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53220","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53220","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53230","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53230","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"53230","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53235","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53235","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53235","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53240","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53240","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"53240","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"53250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53250","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53250","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,"Apr06","J"
"53260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"53260","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","V"
"53260","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"010",,"Mar04","V"
"53260","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"53260","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"53265","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar04","V"
"53265","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"53265","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"010",,"Mar04","V"
"53270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"53270","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","V"
"53270","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"010",,"Mar04","V"
"53270","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"53270","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"53275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"53275","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"53400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53400","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53400","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53405","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53405","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53410","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53410","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53415","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53415","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53420","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53420","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53425","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53425","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53430","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53430","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53430","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"53431","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","53443",,
"53431","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","53443",,
"53431","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090","53443",,
"53431","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090","53443",,
"53440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT12","5 Year"
"53440","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT12","5 Year"
"53442","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"53442","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"53444","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"53444","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"53445","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Feb08","ss"
"53445","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,"ss"
"53445","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,,"ss"
"53446","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"53446","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,2.00,"090",,,
"53447","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"53447","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,2.00,"090",,,
"53448","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"53448","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,2.00,"090",,,
"53449","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53449","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"53449","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53450","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53450","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53460","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53460","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53460","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"53500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"53500","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,,1.00,"090",,,
"53500","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,3.00,"090",,,
"53500","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,3.00,"090",,,
"53502","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53502","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53502","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"53502","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"53505","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53505","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53510","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53510","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53515","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53515","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53515","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"53520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"53520","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"53600","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53600","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"53600","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"53600","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53600","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"53600","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"53600","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"53600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53600","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"53600","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53601","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"53601","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53601","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"53601","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"53601","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53601","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"53601","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"53601","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"53601","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53601","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"53601","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53605","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"53620","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53620","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"53620","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"53620","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53620","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"53620","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"53620","RUC","Accessory, Procedure","SD074","filiform","item",9.19,1.00,,"000",,,
"53620","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"53620","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53620","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.67,,"000",,,
"53620","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53621","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"53621","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53621","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"53621","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"53621","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53621","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"53621","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"000",,,
"53621","RUC","Accessory, Procedure","SD074","filiform","item",9.19,1.00,,"000",,,
"53621","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"53621","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53621","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.67,,"000",,,
"53621","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"53660","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53660","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"53660","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"53660","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53660","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"53660","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"53660","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,"000",,,
"53660","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"53660","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53660","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"53660","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53661","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"53661","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"53661","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"53661","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"53661","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"53661","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"53661","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"53661","RUC","Accessory, Procedure","SD030","catheter, straight","item",1.70,1.00,,"000",,,
"53661","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"53661","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"53661","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"53661","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"53665","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"53850","RUC","Kit, Pack, Tray","SA036","kit, transurethral microwave thermotherapy","kit",1149.00,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"CPT13","May 47"
"53850","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Accessory, Procedure","SD129","tubing, irrigation (cysto)","item",5.07,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Accessory, Procedure","SD271","Rectal probe","item",50.00,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"090",,"CPT13","May 47"
"53850","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,30.00,,"090",,"CPT13","May 47"
"53850","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"090",,"CPT13","May 47"
"53850","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,4.00,,"090",,"CPT13","May 47"
"53850","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,6.00,,"090",,"CPT13","May 47"
"53850","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,4.00,,"090",,"CPT13","May 47"
"53850","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,,"090",,"CPT13","May 47"
"53850","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,2.00,,"090",,"CPT13","May 47"
"53850","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,4.00,,"090",,"CPT13","May 47"
"53852","RUC","Kit, Pack, Tray","SA037","kit, transurethral needle ablation (TUNA)","kit",1050.00,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Aug03","6"
"53852","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Aug03","6"
"53852","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,"Aug03","6"
"53852","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,"Aug03","6"
"53852","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"090",,"Aug03","6"
"53852","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Accessory, Procedure","SD129","tubing, irrigation (cysto)","item",5.07,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,0.00,"090",,"Aug03","6"
"53852","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,3.00,0.00,"090",,"Aug03","6"
"53852","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,0.00,"090",,"Aug03","6"
"53852","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,6.00,0.00,"090",,"Aug03","6"
"53852","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Aug03","6"
"53855","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT10","13"
"53855","RUC","Kit, Pack, Tray","SA101","kit, stent, urethral, prostatic, insertion tool and surveyor","kit",575.00,1.00,,"000",,"CPT10","13"
"53855","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,"CPT10","13"
"53855","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT10","13"
"53855","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,,"000",,"CPT10","13"
"53855","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT10","13"
"53855","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT10","13"
"53855","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,"CPT10","13"
"53855","RUC","Accessory, Procedure","SD074","filiform","item",9.19,1.00,,"000",,"CPT10","13"
"53855","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"000",,"CPT10","13"
"53855","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"000",,"CPT10","13"
"53855","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"000",,"CPT10","13"
"53855","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"000",,"CPT10","13"
"53860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,3.00,,"090",,"CPT11","10"
"53860","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,,"090",,"CPT11","10"
"53860","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,6.00,,"090",,"CPT11","10"
"53860","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"090",,"CPT11","10"
"53860","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"090",,"CPT11","10"
"53860","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"090",,"CPT11","10"
"53860","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"090",,"CPT11","10"
"53860","RUC","Accessory, Procedure","SD245","Renessa probe","item",1095.00,1.00,,"090",,"CPT11","10"
"53860","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,1.00,,"090",,"CPT11","10"
"53860","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"090",,"CPT11","10"
"53860","RUC","Office Supply, Grocery","SK051","pad, feminine maxi","item",0.15,1.00,,"090",,"CPT11","10"
"53860","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,,"090",,"CPT11","10"
"53860","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,,"090",,"CPT11","10"
"53860","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,1.00,,"090",,"CPT11","10"
"53899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"54000","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"54000","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","V"
"54000","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"010",,"Mar04","V"
"54000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"54001","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","V"
"54001","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"010",,"Mar04","V"
"54001","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"010",,"Mar04","V"
"54001","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","V"
"54015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54015","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"54050","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"54050","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"54050","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"54050","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"54050","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"54050","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,,
"54050","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"010",,,
"54050","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"010",,,
"54050","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"010",,,
"54050","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"010",,,
"54050","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"010",,,
"54055","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"54055","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"54055","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"54055","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"54055","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"54055","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,,
"54055","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"010",,,
"54055","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"010",,,
"54055","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"010",,,
"54055","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"010",,,
"54055","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"010",,,
"54056","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"54056","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"010",,"Mar04","V"
"54056","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","V"
"54056","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,30.00,0.00,"010",,"Mar04","V"
"54056","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"010",,"Mar04","V"
"54056","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"54057","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"010",,"Mar04","V"
"54057","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","V"
"54057","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"010",,"Mar04","V"
"54057","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","V"
"54060","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,3.00,0.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","V"
"54065","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"010",,"Mar04","V"
"54100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54100","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"000",,,
"54100","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"54100","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,,
"54100","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"54100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"54100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"54100","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"54100","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"54100","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"54100","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"54100","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"54100","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"54100","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"54100","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"54100","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"54100","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"000",,,
"54100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"54100","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"54100","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"000",,,
"54105","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","Q"
"54105","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,"Mar04","Q"
"54105","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,0.00,"010",,"Mar04","Q"
"54105","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Mar04","Q"
"54110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","V"
"54110","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","V"
"54111","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","V"
"54112","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54115","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.50,2.50,"090",,"Mar04","V"
"54115","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","V"
"54115","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","V"
"54115","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"090",,"Mar04","V"
"54115","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"090",,"Mar04","V"
"54115","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar04","V"
"54115","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Mar04","V"
"54120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","V"
"54120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54125","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","V"
"54125","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","V"
"54130","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.50,"090",,"Mar04","V"
"54135","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"54150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar04","Q"
"54150","RUC","Kit, Pack, Tray","SA086","tray, circumcision","tray",25.17,1.00,0.00,"000",,"Mar04","Q"
"54150","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT07",
"54150","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT07",
"54150","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"CPT07",
"54150","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,0.00,"000",,"Mar04","Q"
"54150","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,2.00,0.00,"000",,"CPT07",
"54150","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"CPT07",
"54160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","Q"
"54160","RUC","Kit, Pack, Tray","SA086","tray, circumcision","tray",25.17,1.00,0.00,"010",,"Mar04","Q"
"54160","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","Q"
"54160","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","Q"
"54160","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","Q"
"54160","RUC","Cutters, Closures, Cautery","SF047","scalpel, safety, surgical, with blade (#10-20)","item",2.14,1.00,0.00,"010",,"Mar04","Q"
"54160","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,0.00,"010",,"Mar04","Q"
"54161","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54161","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"54161","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,1.00,"010",,,
"54162","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","Q"
"54162","RUC","Kit, Pack, Tray","SA086","tray, circumcision","tray",25.17,1.00,0.00,"010",,"Mar04","Q"
"54162","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar04","Q"
"54162","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","Q"
"54162","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar04","Q"
"54162","RUC","Cutters, Closures, Cautery","SF047","scalpel, safety, surgical, with blade (#10-20)","item",2.14,1.00,0.00,"010",,"Mar04","Q"
"54162","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,0.00,"010",,"Mar04","Q"
"54163","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54163","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"54164","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54164","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"54200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"54200","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"54200","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"54200","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"54200","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"54200","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"54200","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"54200","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"010",,,
"54200","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"54200","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"010",,,
"54200","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"010",,,
"54200","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"010",,,
"54205","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54205","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54205","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"54205","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54220","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"000",,,
"54220","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000",,,
"54220","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"54220","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"54220","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"54220","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"54220","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"54220","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"54220","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"54220","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"54220","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"54220","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"54220","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"54220","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"54220","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"54220","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"54220","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"000",,,
"54220","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"54220","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"000",,,
"54230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54230","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"54230","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"54230","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"54230","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"54230","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"54230","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"000",,,
"54231","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54231","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.50,,"000",,,
"54231","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"54231","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"54231","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"54231","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"000",,,
"54235","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54235","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"54235","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"54235","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"54235","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"000",,,
"54240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54240","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"000",,,
"54240","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"54240","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"000",,,
"54250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54300","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54300","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"54304","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54304","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54304","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54304","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54308","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54308","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54308","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54312","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54312","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54312","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54316","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54316","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54316","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54316","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54318","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54318","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54318","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54322","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54322","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54322","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"54324","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54324","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54324","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54326","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54326","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54326","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54326","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"54328","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54328","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54328","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54328","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54332","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54332","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54332","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54336","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"54336","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54336","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54336","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,35.00,"090",,"Apr06","J"
"54340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54340","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54340","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54340","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"54344","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54344","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54344","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54344","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"54348","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54348","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54348","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54348","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54352","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"54352","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54352","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,"Apr06","J"
"54352","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,35.00,"090",,"Apr06","J"
"54360","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54360","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54360","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"54380","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54380","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54380","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54385","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"54385","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54385","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54390","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"54390","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54390","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"54400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54400","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54400","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"54400","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"54401","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"54401","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54401","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"54405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54405","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54405","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"54406","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"54406","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54408","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"54408","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Feb08","ss"
"54410","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54411","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"54411","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"54415","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54416","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"54416","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54417","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"54417","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54420","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54420","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"54420","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54430","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54430","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54430","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"54430","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54435","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54435","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54435","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"54435","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54440","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54440","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,,2.00,"090",,,
"54440","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"54450","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,0.00,"000",,"Feb05",
"54500","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"54500","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"54500","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"54500","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"54500","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"54500","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"54500","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"54500","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"54505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54505","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"54505","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"010",,,
"54512","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"54512","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54512","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54512","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,10.00,"090",,,
"54520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54520","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54520","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54520","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54522","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"54522","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54522","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"54522","RUC","Wound Care, Dressings","SG071","scrotal support","item",6.69,,1.00,"090",,,
"54522","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,10.00,"090",,,
"54530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Feb08","ss"
"54530","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54530","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54530","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54535","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54535","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54535","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54550","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54550","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54550","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54560","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54560","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54560","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54560","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54600","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54600","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54600","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54620","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"54620","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,1.00,"010",,,
"54640","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54640","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54640","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54640","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54650","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"54650","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"54650","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54660","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54660","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54660","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54670","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54670","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54670","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54670","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54680","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54680","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54680","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54680","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54690","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","54560",,
"54690","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","54560",,
"54690","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090","54560",,
"54690","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090","54560",,
"54692","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"54692","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"54699","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"54700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"54700","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"54800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"54800","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000",,,
"54800","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"54800","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000",,,
"54800","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"54800","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"54800","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"000",,,
"54830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54830","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54830","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54830","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54840","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54840","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54840","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54860","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54860","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54860","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54861","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54861","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54861","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54861","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"54865","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54865","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54865","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"54900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"54900","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54900","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54900","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"54901","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"54901","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"54901","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"54901","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,,
"55000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"55000","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"000",,,
"55000","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"55000","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"55000","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"55000","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"55000","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,,
"55000","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"55000","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"55000","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"55000","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"000",,,
"55000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"55000","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"55000","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"000",,,
"55040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55040","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55040","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55040","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55041","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55041","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55041","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55041","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55060","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55060","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55060","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55060","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"55100","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"55100","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"010",,,
"55100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"55100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"55100","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"55100","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"55100","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"55100","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,,"010",,,
"55100","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"55100","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"55100","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"55100","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"010",,,
"55100","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010",,,
"55100","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"55100","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"010",,,
"55100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"010",,,
"55100","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"010",,,
"55100","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"010",,,
"55110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","V"
"55110","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"55120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","V"
"55120","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"55150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","V"
"55150","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"55175","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Mar04","V"
"55175","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"55180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Mar04","V"
"55180","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"55200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Mar04","V"
"55200","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","V"
"55200","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","V"
"55200","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Mar04","V"
"55200","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","V"
"55200","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"Mar04","V"
"55200","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","V"
"55200","RUC","Accessory, Procedure","SD164","electrode, Bugbee","item",115.00,1.00,0.00,"090",,"Mar04","V"
"55200","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Mar04","V"
"55200","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Mar04","V"
"55200","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"090",,"Mar04","V"
"55250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Mar04","V"
"55250","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Mar04","V"
"55250","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Mar04","V"
"55250","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,0.00,"090",,"Mar04","V"
"55250","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar04","V"
"55250","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"Mar04","V"
"55250","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Mar04","V"
"55250","RUC","Accessory, Procedure","SD164","electrode, Bugbee","item",115.00,1.00,0.00,"090",,"Mar04","V"
"55250","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Mar04","V"
"55250","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Mar04","V"
"55250","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,0.00,"090",,"Mar04","V"
"55300","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"55400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090",,"Mar04","V"
"55400","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Mar04","V"
"55450","RUC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,,
"55450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"55450","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,,"010",,,
"55450","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"010",,,
"55450","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"55450","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"55450","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"55450","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"010",,,
"55450","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"010",,,
"55450","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"55450","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"55450","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"55450","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"55450","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"55450","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"55450","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"55450","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"55450","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"010",,,
"55450","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,30.00,,"010",,,
"55450","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"010",,,
"55450","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"010",,,
"55450","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"010",,,
"55500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55500","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55500","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55500","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55520","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55520","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55520","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55530","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55530","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55530","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55535","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55535","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55535","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55540","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55540","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55540","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"55550","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"55550","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,,
"55550","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,,
"55559","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"55600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55600","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55600","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55600","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55605","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55605","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55605","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55650","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55650","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55650","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55680","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55680","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"55680","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55680","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,,
"55700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"55700","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,2.00,,"000",,,
"55700","RUC","Hypodermic, IV","SC032","needle, biopsy for breast-prostate core sample","item",28.42,1.00,,"000",,,
"55700","RUC","Hypodermic, IV","SC042","needle, spine, Sprotte","item",8.60,1.00,,"000",,,
"55700","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"55700","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,,
"55700","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,50.00,,"000",,,
"55705","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"55705","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"55706","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"010",,"CPT09","16"
"55706","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"010",,"CPT09","16"
"55720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"55720","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55720","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55720","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55725","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55725","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55725","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"55801","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"55801","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55801","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,"Apr06","J"
"55810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55810","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55810","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"55810","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"55812","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"55812","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55812","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"55812","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"55815","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"55815","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55815","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"55815","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"55821","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55821","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55821","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"55831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55831","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55831","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"Apr06","J"
"55840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"55840","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55840","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"55840","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"55842","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"55842","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55842","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"55842","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"55842","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"55845","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55845","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55845","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"Apr06","J"
"55845","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"55845","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,30.00,"090",,"Apr06","J"
"55860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55860","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55860","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55860","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55862","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55862","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55862","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55862","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,,
"55865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"55865","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"55865","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,,
"55865","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,25.00,"090",,,
"55866","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,4.00,"090",,"CPT11","54"
"55866","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,0.00,1.00,"090",,"CPT11","54"
"55870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"55870","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"55873","RUC","Kit, Pack, Tray","SA006","kit, catheter, suprapubic","kit",34.75,1.00,,"090",,"Feb09",
"55873","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"090",,"Feb09",
"55873","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Feb09",
"55873","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,,"090",,"Feb09",
"55873","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"090",,"Feb09",
"55873","RUC","Kit, Pack, Tray","SA099","Kit, probe, cryoablation, prostate (Galil-Endocare)","kit",4700.00,1.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,2.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB017","drape-sleeve, sterile (4in x 8ft)","item",0.15,2.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB018","drape-sleeve, sterile, for handpiece","item",0.08,1.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"090",,"Feb09",
"55873","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,8.00,,"090",,"Feb09",
"55873","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,,"090",,"Feb09",
"55873","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"090",,"Feb09",
"55873","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"090",,"Feb09",
"55873","RUC","Accessory, Procedure","SD074","filiform","item",9.19,1.00,,"090",,"Feb09",
"55873","RUC","Accessory, Procedure","SD079","gas, helium","cu ft",0.25,473.00,,"090",,"Feb09",
"55873","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,,"090",,"Feb09",
"55873","RUC","Accessory, Procedure","SD227","gas, argon","cu ft",0.25,523.00,,"090",,"Feb09",
"55873","RUC","Cutters, Closures, Cautery","SF047","scalpel, safety, surgical, with blade (#10-20)","item",2.14,1.00,,"090",,"Feb09",
"55873","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"090",,"Feb09",
"55873","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,2.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,2.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, NonRx","SJ031","leg or urinary drainage bag","item",3.07,1.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,50.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"090",,"Feb09",
"55873","RUC","Pharmacy, NonRx","SJ079","basin, sterile 500cc","item",3.00,1.00,,"090",,"Feb09",
"55873","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,,"090",,"Feb09",
"55873","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"090",,"Feb09",
"55875","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"55875","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","55860",,
"55875","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090","55860",,
"55875","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090","55860",,
"55876","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"000",,"CPT07",
"55876","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT07",
"55876","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,2.00,0.00,"000",,"CPT07",
"55876","RUC","Hypodermic, IV","SC042","needle, spine, Sprotte","item",8.60,1.00,0.00,"000",,"CPT07",
"55876","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"000",,"CPT07",
"55876","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT07",
"55899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"55920","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08","B"
"55970","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"55980","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"56405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"56405","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,1.00,"010",,,
"56405","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"010",,,
"56405","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"56405","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"56405","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"56405","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"56405","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"010",,,
"56405","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"010",,,
"56405","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"56405","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"56405","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"56420","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"56420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"56420","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,"Feb05",
"56420","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Feb05",
"56420","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Feb05",
"56420","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"010",,"Feb05",
"56420","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,0.00,"010",,"Feb05",
"56420","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,45.00,0.00,"010",,"Feb05",
"56420","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"010",,"Feb05",
"56440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"56440","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"56441","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"010",,,
"56441","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,1.00,"010",,,
"56441","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"010",,,
"56441","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"56441","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"56441","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"56441","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"56441","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"56441","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"56441","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"010",,,
"56441","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"010",,,
"56441","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"56441","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"56441","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"56442","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"56501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"56501","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"56501","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"56501","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"56501","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"56501","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"56501","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"56501","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"56501","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"56501","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"56501","RUC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,,"010",,,
"56501","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"010",,,
"56501","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"56501","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"56501","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"56515","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"56515","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"56515","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"56515","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"56515","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"56515","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"56515","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"56515","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"56515","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"56515","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"56515","RUC","Pharmacy, Rx","SH064","silver sulfadiazene cream (Silvadene)","gm",0.16,1.00,,"010",,,
"56515","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"010",,,
"56515","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"56515","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"56515","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"56605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"56605","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"56605","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"56605","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"56605","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"56605","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"56605","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"56605","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"56605","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"000",,,
"56605","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"56606","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"ZZZ",,,
"56606","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"ZZZ",,,
"56606","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"ZZZ",,,
"56606","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"ZZZ",,,
"56606","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"ZZZ",,,
"56606","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"ZZZ",,,
"56620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Feb08","ss"
"56620","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,4.00,"090",,"Feb08","ss"
"56620","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56620","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,"Feb08","ss"
"56620","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"56625","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"56625","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"56625","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56625","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"56625","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"56630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"56630","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"56630","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56630","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"56630","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56630","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56630","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56630","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,16.00,"090",,"Apr06","J"
"56631","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"56631","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"56631","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56631","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"56631","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56631","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56631","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56631","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,24.00,"090",,"Apr06","J"
"56632","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"56632","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,5.00,"090",,"Apr06","J"
"56632","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56632","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,5.00,"090",,"Apr06","J"
"56632","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56632","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56632","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56632","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,24.00,"090",,"Apr06","J"
"56633","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"56633","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"56633","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56633","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"56633","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56633","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56633","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56633","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,16.00,"090",,"Apr06","J"
"56634","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"56634","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"56634","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56634","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"56634","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56634","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56634","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56634","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,24.00,"090",,"Apr06","J"
"56637","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"56637","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"56637","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"56637","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56637","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56637","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56637","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,24.00,"090",,"Apr06","J"
"56640","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"56640","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"56640","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"56640","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,"Apr06","J"
"56640","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,,1.00,"090",,"Apr06","J"
"56640","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Apr06","J"
"56640","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,24.00,"090",,"Apr06","J"
"56700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"56700","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"56700","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"56700","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"56700","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,1.00,"010",,,
"56700","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"010",,,
"56700","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,10.00,"010",,,
"56700","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"010",,,
"56700","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"010",,,
"56740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"56740","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"56740","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"56740","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"010",,,
"56740","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,1.00,"010",,,
"56740","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"010",,,
"56740","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,10.00,"010",,,
"56740","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"010",,,
"56740","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"010",,,
"56800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"56800","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"56800","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"56805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"56805","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"56805","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"56805","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"56805","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"56810","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"56810","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"56810","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"56820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"56820","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"56820","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"56820","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"56820","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"56820","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"56820","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"56821","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"56821","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"56821","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"56821","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"56821","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"56821","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,,
"56821","RUC","Hypodermic, IV","SC046","punch, biopsy","item",1.88,1.00,,"000",,,
"56821","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,1.00,,"000",,,
"56821","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"56821","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"56821","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"56821","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,,
"56821","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,,
"56821","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"56821","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"56821","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"56821","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"57000","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"57000","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"57010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57010","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57010","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57010","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57010","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57020","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57020","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57020","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57020","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"57020","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"000",,,
"57022","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"57022","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"57022","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"57023","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"57023","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"57023","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"57061","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57061","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57061","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57061","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57061","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"57061","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57061","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"57061","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57061","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"57061","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"57061","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"010",,,
"57061","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57061","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"57061","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"57065","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57065","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57065","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57065","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57065","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"57065","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57065","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"57065","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57065","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"57065","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"57065","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"010",,,
"57065","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57065","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"57065","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"57100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57100","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57100","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57100","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"57100","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,,
"57100","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,,
"57100","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,,
"57100","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"57105","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57105","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57105","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,1.00,"010",,,
"57105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,1.00,"010",,,
"57105","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57105","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"57105","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"57105","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"57105","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,2.00,2.00,"010",,,
"57105","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,12.00,"010",,,
"57105","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,10.00,"010",,,
"57105","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"57105","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,1.00,"010",,,
"57105","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"010",,,
"57106","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57106","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57106","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57106","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57106","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57107","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57107","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57107","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57107","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57107","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57109","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57109","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57109","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57109","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57109","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57110","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57110","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57110","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57110","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57111","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57111","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57111","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57111","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57111","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57112","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57112","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57112","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57112","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57120","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57120","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57130","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57130","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57130","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57130","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"57130","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57130","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"57130","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57130","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"57130","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"57130","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"010",,,
"57130","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57130","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"57130","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"57135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57135","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57135","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57135","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57135","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"57135","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57135","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"57135","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57135","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"010",,,
"57135","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"010",,,
"57135","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"010",,,
"57135","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57135","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"57135","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"010",,,
"57150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000","Feb05","Feb05",
"57150","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"000","Feb05","Feb05",
"57150","RUC","Accessory, Procedure","SD129","tubing, irrigation (cysto)","item",5.07,1.00,0.00,"000","Feb05","Feb05",
"57150","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"000","Feb05","Feb05",
"57150","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"000",,"Feb05",
"57155","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT11","30"
"57155","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,"CPT11","30"
"57155","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","30"
"57155","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,"CPT11","30"
"57155","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"000",,"CPT11","30"
"57155","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,"CPT11","30"
"57155","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,"CPT11","30"
"57155","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT11","30"
"57155","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT11","30"
"57155","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","30"
"57155","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,"CPT11","30"
"57156","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"000",,"CPT11","30"
"57156","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","30"
"57156","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,"CPT11","30"
"57156","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"000",,"CPT11","30"
"57156","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,"CPT11","30"
"57156","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,"CPT11","30"
"57156","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT11","30"
"57156","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT11","30"
"57156","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,"CPT11","30"
"57156","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"000",,"CPT11","30"
"57156","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"000",,"CPT11","30"
"57160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57160","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57160","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57170","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"57170","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"000",,"Feb05",
"57170","RUC","Accessory, Procedure","SD217","diaphragm fitting set","item",75.00,0.00,0.00,"000",,"Feb05",
"57180","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"57180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"57180","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,"Feb05",
"57180","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"010",,"Feb05",
"57180","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Feb05",
"57180","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Feb05",
"57180","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"010",,"Feb05",
"57180","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,0.00,"010",,"Feb05",
"57180","RUC","Wound Care, Dressings","SG092","packing, gauze, plain, 1 in (5 yd uou)","item",6.17,1.00,0.00,"010",,"Feb05",
"57180","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,0.00,"010",,"Feb05",
"57180","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,0.00,"010",,"Feb05",
"57180","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,45.00,0.00,"010",,"Feb05",
"57180","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"010",,"Feb05",
"57180","RUC","Infection Control","SM003","autoclave tape","yd",0.09,1.00,0.00,"010",,"Feb05",
"57200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57200","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57200","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57200","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57210","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57210","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57210","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57220","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57220","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57220","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57230","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57230","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57230","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57240","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57240","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57240","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57250","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57250","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57250","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57260","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57260","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57260","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57265","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57265","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57265","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57265","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57267","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"57268","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57268","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57268","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57268","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57270","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57270","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57270","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57280","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57280","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57280","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57282","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"57282","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,,
"57282","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57282","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"57283","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57283","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57283","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,2.00,"090",,,
"57284","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","E*"
"57284","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT08","E*"
"57284","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"CPT08","E*"
"57284","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"CPT08","E*"
"57285","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","E"
"57285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT08","E"
"57285","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"CPT08","E"
"57285","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"CPT08","E"
"57287","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Feb08","ss"
"57287","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,4.00,"090",,"Feb08","ss"
"57287","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Sep02",
"57287","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,,"ss"
"57288","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT12","5 Year"
"57288","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Feb08","ss"
"57288","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Feb08","ss"
"57288","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Feb08","ss"
"57289","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"57289","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,,
"57289","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57289","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"57291","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57291","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57291","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57291","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57292","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57292","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57292","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57292","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57295","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"57295","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"RUC05",
"57295","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"RUC05",
"57295","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"RUC05",
"57296","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT07",
"57296","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT07",
"57296","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"CPT07",
"57296","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"CPT07",
"57300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"57300","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,,
"57300","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57300","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"57305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"57305","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,,
"57305","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57305","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57307","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57307","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57307","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57307","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57307","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,4.00,"090",,"Apr06","J"
"57307","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,15.00,"090",,"Apr06","J"
"57308","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57308","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57308","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57308","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57310","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57310","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57310","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57310","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"PFS07",
"57310","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"57310","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"PFS07",
"57310","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"PFS07",
"57311","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57311","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57311","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"57311","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57311","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"PFS07",
"57311","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"57311","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"PFS07",
"57311","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"PFS07",
"57320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57320","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57320","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57320","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57320","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090",,"PFS07",
"57320","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"57320","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"PFS07",
"57320","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,20.00,"090",,"PFS07",
"57330","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57330","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57330","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57330","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57330","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"57335","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57335","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57335","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57335","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57335","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"57400","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"57410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"57410","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,,"000",,,
"57410","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"57410","RUC","Accessory, Procedure","SD118","specula, vaginal","item",0.54,1.00,0.00,"000",,,
"57410","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"000",,,
"57410","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"000",,,
"57410","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"000",,,
"57415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"57415","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"57415","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"57420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57420","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57420","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57420","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57420","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57420","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57420","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,,
"57420","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57421","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57421","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57421","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57421","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57421","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"57421","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,,
"57421","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,1.00,,"000",,,
"57421","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57421","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57421","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"57421","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"000",,,
"57421","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,,
"57421","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,,
"57421","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"57421","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57421","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"57421","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57423","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","E"
"57423","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT08","E"
"57423","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"CPT08","E"
"57423","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"CPT08","E"
"57425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"57425","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"57425","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"57425","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"57426","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT10","14"
"57426","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","14"
"57426","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT10","14"
"57426","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT10","14"
"57452","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57452","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57452","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57452","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57452","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57452","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57452","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57454","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57454","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57454","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57454","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57454","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57454","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57454","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"57454","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57454","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"57454","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57455","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57455","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57455","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57455","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57455","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57455","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57455","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"000",,,
"57455","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,3.00,,"000",,,
"57455","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57455","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"57455","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57456","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57456","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57456","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57456","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57456","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57456","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57456","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"000",,,
"57456","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"57456","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57456","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"57456","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57460","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57460","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57460","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57460","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"57460","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"57460","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"57460","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,1.00,,"000",,,
"57460","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.00,,"000",,,
"57460","RUC","Cutters, Closures, Cautery","SF014","cautery, electrode extender","item",7.38,1.00,,"000",,,
"57460","RUC","Cutters, Closures, Cautery","SF017","cautery, monopolar, electrode, loop","item",12.69,1.00,,"000",,,
"57460","RUC","Cutters, Closures, Cautery","SF019","cautery, monopolar, electrode, spatula","item",40.00,1.00,,"000",,,
"57460","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"57460","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"57460","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,,"000",,,
"57460","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,20.00,,"000",,,
"57460","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"57460","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"000",,,
"57460","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,,
"57460","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,,
"57460","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"000",,,
"57460","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,,"000",,,
"57460","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57460","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"57460","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57461","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57461","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57461","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57461","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"57461","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"57461","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"57461","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,1.00,,"000",,,
"57461","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,4.00,,"000",,,
"57461","RUC","Cutters, Closures, Cautery","SF014","cautery, electrode extender","item",7.38,1.00,,"000",,,
"57461","RUC","Cutters, Closures, Cautery","SF017","cautery, monopolar, electrode, loop","item",12.69,1.00,,"000",,,
"57461","RUC","Cutters, Closures, Cautery","SF019","cautery, monopolar, electrode, spatula","item",40.00,1.00,,"000",,,
"57461","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"57461","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"57461","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,,"000",,,
"57461","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,20.00,,"000",,,
"57461","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"000",,,
"57461","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,2.00,,"000",,,
"57461","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,,
"57461","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,,
"57461","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"000",,,
"57461","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,3.00,,"000",,,
"57461","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57461","RUC","Infection Control","SM002","autoclave bag","item",0.07,2.00,,"000",,,
"57461","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57500","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57500","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57500","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"000",,,
"57500","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"57500","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,,
"57500","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"57500","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"57500","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"57500","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"57500","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.10,,"000",,,
"57500","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,,
"57500","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,30.00,,"000",,,
"57500","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,10.00,,"000",,,
"57500","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"57500","RUC","Lab","SL136","stain, Lugol's","ml",0.69,2.00,,"000",,,
"57500","RUC","Infection Control","SM002","autoclave bag","item",0.07,1.00,,"000",,,
"57500","RUC","Infection Control","SM003","autoclave tape","yd",0.09,0.67,,"000",,,
"57505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57505","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57505","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57505","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57505","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57505","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57505","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"57505","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57505","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"57505","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"57510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"010",,,
"57510","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"010",,,
"57510","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"010",,,
"57510","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57510","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"57510","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57510","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"57510","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57510","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"57510","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57510","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"57511","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57511","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57511","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57511","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57511","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,,
"57511","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57511","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"57511","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"57511","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57511","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,3.00,,"010",,,
"57513","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57513","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57513","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57513","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"57513","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"57513","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"57513","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"57513","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,3.00,,"010",,,
"57520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","7"
"57520","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.50,1.50,"090",,"Aug03","7"
"57520","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.50,1.50,"090",,"Aug03","7"
"57520","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"090",,"Aug03","7"
"57520","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"090",,"Aug03","7"
"57520","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","7"
"57520","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","7"
"57520","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,1.00,0.00,"090",,"Aug03","7"
"57520","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Aug03","7"
"57520","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"090",,"Aug03","7"
"57522","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Aug03","7"
"57522","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"090",,"Aug03","7"
"57522","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.00,1.00,"090",,"Aug03","7"
"57522","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"090",,"Aug03","7"
"57522","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"090",,"Aug03","7"
"57522","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","7"
"57522","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Aug03","7"
"57522","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,1.00,0.00,"090",,"Aug03","7"
"57522","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Aug03","7"
"57522","RUC","Pharmacy, NonRx","SJ052","swab, procto 16in","item",0.11,3.00,0.00,"090",,"Aug03","7"
"57530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57530","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57530","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57530","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57530","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57531","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57531","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57531","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57531","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57531","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57540","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57540","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57540","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57540","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57545","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57545","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57545","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57545","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57550","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57550","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57550","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57550","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57555","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57555","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57555","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57555","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57555","RUC","Office Supply, Grocery","SK054","pad, urinary incontinence (Depends)","item",0.50,,1.00,"090",,"Apr06","J"
"57555","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,,15.00,"090",,"Apr06","J"
"57556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57556","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57556","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57556","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57556","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"57558","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"57558","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"57558","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"57700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"57700","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"57700","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57700","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"57700","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,"Apr06","J"
"57720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"57720","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"57720","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"57720","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"57720","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"57800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"57800","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"57800","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"57800","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"58100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"58100","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"58100","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"58100","RUC","Accessory, Procedure","SD039","curette, suction, endometrial (Pipelle)","item",4.12,1.00,,"000",,,
"58110","RUC","Accessory, Procedure","SD039","curette, suction, endometrial (Pipelle)","item",4.12,1.00,,"ZZZ",,"RUC05",
"58120","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"58120","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"58120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"58120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,,
"58120","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"010",,"Apr06","J"
"58120","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,0.00,"010",,"Apr06","J"
"58120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"010",,"Apr06","J"
"58120","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"010",,"Apr06","J"
"58140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58140","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58140","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58140","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58140","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58145","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58145","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58145","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58145","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58146","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58146","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58146","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58146","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58150","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58150","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58150","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58152","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58152","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.50,"090",,,
"58152","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58152","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.50,"090",,,
"58180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58180","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58180","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58180","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58200","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58200","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58200","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58210","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58210","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58210","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,"CPT07",
"58240","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,6.00,"090",,"CPT07",
"58240","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT07",
"58240","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,6.00,"090",,"CPT07",
"58260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58260","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58260","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58262","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"58262","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58262","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58263","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"58263","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58263","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58267","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58267","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.50,"090",,,
"58267","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.50,"090",,,
"58270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58270","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58270","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58275","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58275","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58280","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58280","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58285","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,,
"58285","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,,
"58290","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58290","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58290","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58290","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58291","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58291","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58291","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58291","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58292","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58292","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58292","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58292","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58293","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58293","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58293","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58293","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58294","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58294","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58294","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58294","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb05",
"58300","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"XXX",,"Feb05",
"58300","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,0.00,"XXX",,"Feb05",
"58301","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58301","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"58301","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"58301","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"58301","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"58301","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"58301","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"58301","RUC","Accessory, Procedure","SD118","specula, vaginal","item",0.54,1.00,,"000",,,
"58301","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"000",,,
"58301","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"58301","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"000",,,
"58301","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"000",,,
"58301","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,,"000",,,
"58301","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,,"000",,,
"58301","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"58301","RUC","Office Supply, Grocery","SK052","pad, feminine mini","item",0.11,1.00,,"000",,,
"58321","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58321","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"58321","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"58321","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"58321","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"58321","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"000",,,
"58321","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"58321","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"58321","RUC","Accessory, Procedure","SD118","specula, vaginal","item",0.54,1.00,,"000",,,
"58321","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"000",,,
"58321","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"000",,,
"58321","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"58321","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"58322","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58322","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"58322","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"58322","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"58322","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"58322","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"000",,,
"58322","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"58322","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"58322","RUC","Accessory, Procedure","SD118","specula, vaginal","item",0.54,1.00,,"000",,,
"58322","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,,"000",,,
"58322","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"000",,,
"58322","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"000",,,
"58322","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"58323","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,0.00,"000",,"Feb05",
"58323","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"000",,"Feb05",
"58323","RUC","Lab","SL108","pipette","item",0.03,2.00,0.00,"000",,"Feb05",
"58323","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,0.00,"000",,"Feb05",
"58323","RUC","Lab","SL143","test tube","item",0.27,5.00,0.00,"000",,"Feb05",
"58340","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,,"000",,,
"58340","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,,"000",,,
"58340","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,,
"58340","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"000",,,
"58340","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"000",,,
"58340","RUC","Gown, Drape","SB026","gown, patient","item",0.53,3.00,,"000",,,
"58340","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000",,,
"58340","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,,"000",,,
"58340","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,,
"58340","RUC","Hypodermic, IV","SC041","needle, arterial (Seldinger)","item",5.17,1.00,0.00,"000",,,
"58340","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"58340","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"000",,,
"58340","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,3.00,,"000",,,
"58340","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"000",,,
"58340","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,,"000",,,
"58340","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"58340","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"000",,,
"58345","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"58345","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"58345","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"58346","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58346","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58346","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58350","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"58350","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"58350","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"58350","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"58350","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,2.00,,"010",,,
"58350","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"58350","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"58350","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"58350","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"58350","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"58353","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"58353","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"58353","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"58353","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"58353","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,2.00,,"010",,,
"58353","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"58353","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"58353","RUC","Accessory, Procedure","SD018","catheter, balloon, thermal ablation (Thermachoice)","tray",727.00,1.00,0.00,"010",,,
"58353","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,30.00,,"010",,,
"58353","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,55.00,,"010",,,
"58353","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"010",,,
"58356","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"Aug03","5"
"58356","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"58356","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"58356","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"58356","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"010","88171",,
"58356","RUC","Gown, Drape","SB038","safety glasses","item",2.90,2.00,,"010",,,
"58356","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"58356","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010","88170",,
"58356","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"010",,,
"58356","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"010","43830",,
"58356","RUC","Accessory, Procedure","SD039","curette, suction, endometrial (Pipelle)","item",4.12,1.00,,"010",,,
"58356","RUC","Accessory, Procedure","SD215","probe, endometrial cryoablation (Her Option)","item",1250.00,1.00,0.00,"010",,,
"58356","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"010","88170",,
"58356","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,,"010",,,
"58356","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,,"010",,,
"58356","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"010",,,
"58356","RUC","Pharmacy, NonRx","SJ042","povidone surgical scrub (Betadine)","ml",9.0e-03,100.00,,"010",,,
"58356","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"010",,,
"58356","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"010",,,
"58400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58400","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58400","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58400","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58400","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58410","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58410","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58410","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58410","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58520","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58520","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58520","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58520","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58540","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58540","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58540","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58540","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58541","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT07",
"58541","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58541","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58541","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58542","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT07",
"58542","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58542","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58542","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58543","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT07",
"58543","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58543","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58543","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58544","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT07",
"58544","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58544","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58544","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58545","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58545","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58546","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58546","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58546","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58548","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58548","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58548","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT07",
"58548","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58550","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58550","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58552","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58552","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58552","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58553","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"58553","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58553","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58554","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58554","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58554","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58555","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT10","47"
"58555","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","47"
"58555","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"CPT10","47"
"58555","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT10","47"
"58555","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT10","47"
"58555","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,"CPT10","47"
"58555","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,"CPT10","47"
"58555","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,1.00,0.00,"000",,"Apr06","J"
"58555","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"Apr06","J"
"58555","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,10.00,,"000",,"CPT10","47"
"58555","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"000",,"Apr06","J"
"58558","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT10","47"
"58558","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","47"
"58558","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"CPT10","47"
"58558","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT10","47"
"58558","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT10","47"
"58558","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,"CPT10","47"
"58558","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,"CPT10","47"
"58558","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"000",,"Apr06","J"
"58558","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"Apr06","J"
"58558","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,10.00,,"000",,"CPT10","47"
"58558","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"000",,"Apr06","J"
"58558","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Apr06","J"
"58559","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"58560","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"58561","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"58562","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT10","47"
"58562","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Apr06","J"
"58562","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Apr06",
"58562","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"000",,"Apr06",
"58562","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","47"
"58562","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"CPT10","47"
"58562","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Apr06",
"58562","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT10","47"
"58562","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,"CPT10","47"
"58562","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"Apr06","J"
"58562","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Apr06","J"
"58562","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,"CPT10","47"
"58562","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,1.00,0.00,"000",,"Apr06","J"
"58562","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"Apr06","J"
"58562","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,10.00,,"000",,"CPT10","47"
"58562","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"000",,,
"58563","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,,"000",,"CPT10","47"
"58563","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"58563","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"58563","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"000",,"CPT10","47"
"58563","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"58563","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT10","47"
"58563","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,,
"58563","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"000",,,
"58563","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,2.00,,"000",,,
"58563","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"58563","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,1.00,,"000",,,
"58563","RUC","Accessory, Procedure","SD177","hysteroscope, ablation device","item",1146.00,1.00,,"000",,,
"58563","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,,"000",,,
"58563","RUC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,20.00,,"000",,,
"58563","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,4.00,,"000",,"Aug03","6"
"58563","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"000",,,
"58563","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,"Mar03","12"
"58563","RUC","Pharmacy, NonRx","SJ036","Monsel's soln","ml",1.29,10.00,,"000",,,
"58563","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,4.00,,"000",,,
"58563","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,2.00,,"000",,,
"58563","RUC","Office Supply, Grocery","SK051","pad, feminine maxi","item",0.15,1.00,,"000",,,
"58563","RUC","Office Supply, Grocery","SK052","pad, feminine mini","item",0.11,1.00,,"000",,,
"58565","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,1.00,0.00,"090",,,
"58565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,,
"58565","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,3.00,2.00,"090",,,
"58565","RUC","Kit, Pack, Tray","SA058","pack, urology cystoscopy visit","pack",24.68,1.00,0.00,"090",,,
"58565","RUC","Kit, Pack, Tray","SA075","kit, hysteroscopic tubal implant for sterilization","kit",1245.00,1.00,0.00,"090",,,
"58565","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"090",,,
"58565","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,,
"58565","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,,
"58565","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,0.00,"090",,,
"58565","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,,
"58565","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"090",,,
"58565","RUC","Hypodermic, IV","SC062","syringe, Toomey","item",2.72,1.00,0.00,"090",,,
"58565","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,,
"58565","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,,
"58565","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,3.00,0.00,"090",,,
"58570","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","F"
"58570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","F"
"58570","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT08","F"
"58570","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT08","F"
"58571","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","F"
"58571","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","F"
"58571","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT08","F"
"58571","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT08","F"
"58572","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","F"
"58572","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","F"
"58572","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT08","F"
"58572","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT08","F"
"58573","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,"CPT08","F"
"58573","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT08","F"
"58573","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT08","F"
"58573","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT08","F"
"58578","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"58579","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"58600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58600","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58600","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58600","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58600","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,"Apr06","J"
"58605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58605","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58605","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58605","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58605","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,"Apr06","J"
"58611","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"58615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"58615","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"58615","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"010",,,
"58615","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"58660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58660","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58660","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58660","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58660","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58661","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"010",,,
"58661","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"58661","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"010",,,
"58661","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"010",,,
"58662","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58662","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58662","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58662","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58662","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58670","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58670","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58670","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58670","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58670","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58671","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58671","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58671","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58671","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"58671","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,,
"58672","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58672","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58672","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58672","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58672","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58673","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"58673","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"58673","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58673","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"58673","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58679","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"58700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58700","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58700","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58700","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58700","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58720","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58720","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58720","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58720","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58740","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58740","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58740","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58740","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58750","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58750","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58750","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58750","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58750","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58752","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58752","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58752","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58752","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58752","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58760","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58760","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58760","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58760","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58770","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58770","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58770","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58770","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58770","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","7"
"58800","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.50,1.50,"090",,"Aug03","7"
"58800","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.50,1.50,"090",,"Aug03","7"
"58800","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,3.00,0.00,"090",,"Aug03","7"
"58800","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,2.00,0.00,"090",,"Aug03","7"
"58800","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","7"
"58800","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"090",,"Aug03","7"
"58800","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"090",,"Aug03","7"
"58800","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,0.00,"090",,"Aug03","7"
"58805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58805","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58805","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58805","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58805","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58820","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58820","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58820","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58820","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58822","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58822","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58822","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58822","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58822","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58823","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Jan04","9"
"58823","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,0.00,"000",,"Jan04","9"
"58823","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"Jan04","9"
"58823","RUC","Accessory, Procedure","SD043","dilator, vessel, angiographic","item",6.50,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Accessory, Procedure","SD088","guidewire","item",9.99,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Accessory, Procedure","SD146","catheter percutaneous fastener (Percu-Stay)","item",12.74,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Accessory, Procedure","SD161","drainage catheter, all purpose","item",88.43,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Accessory, Procedure","SD163","drainage pouch, nephrostomy-biliary","item",13.25,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"Jan04","9"
"58823","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,0.00,"000",,"Jan04","9"
"58823","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Jan04","9"
"58823","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"Jan04","9"
"58823","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"Jan04","9"
"58823","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"Jan04","9"
"58823","RUC","Lab","SL157","cup, sterile, 8 oz","item",0.54,1.00,0.00,"000",,"Jan04","9"
"58825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58825","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58825","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58825","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58825","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58900","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58900","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58900","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58900","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58920","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58920","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58920","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58920","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58920","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58925","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58925","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58925","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58925","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58925","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58940","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58940","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58940","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58940","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58940","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"58943","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58943","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58943","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58943","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58943","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"58950","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"58950","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"58950","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58950","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"58950","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"58951","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58951","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58951","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58951","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58951","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"58952","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"58952","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"58952","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58952","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"58952","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"58953","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58953","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58953","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58953","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58954","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58954","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"58954","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"58954","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,,
"58956","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"58956","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,,
"58956","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"58956","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,1.00,"090",,,
"58957","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58957","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58957","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT07",
"58957","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58958","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT07",
"58958","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"CPT07",
"58958","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"CPT07",
"58958","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"CPT07",
"58960","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"58960","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"58960","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"58960","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"58960","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,9.00,"090",,"Apr06","J"
"58970","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"58970","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"58970","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58970","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"58970","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.50,,"000",,,
"58970","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"58970","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"58974","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"58974","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"58974","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58974","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"58974","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.50,,"000",,,
"58974","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"58974","RUC","Accessory, Procedure","SD025","catheter, intrauterine insemination","item",7.10,1.00,,"000",,,
"58976","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"58976","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"58976","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"58976","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"58976","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.50,,"000",,,
"58976","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"58976","RUC","Accessory, Procedure","SD025","catheter, intrauterine insemination","item",7.10,1.00,,"000",,,
"58999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"59000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"59000","RUC","Kit, Pack, Tray","SA059","tray, amniocentesis","tray",19.42,1.00,,"000",,,
"59000","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"59000","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"59001","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59012","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"59015","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"59015","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"59020","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"000",,,
"59020","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"59020","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"59020","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,,
"59020","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,,
"59020","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"59020","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"59020","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,,"000",,,
"59020","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"59020","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,150.00,,"000",,,
"59020","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"000",,,
"59025","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"59025","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"59025","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,150.00,,"000",,,
"59025","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"000",,,
"59030","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Aug03","7"
"59050","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"59051","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"59070","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"59070","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,,
"59070","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,3.00,,"000",,,
"59070","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"59070","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,2.00,,"000",,,
"59070","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"59070","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"59070","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"59070","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"59070","RUC","Pharmacy, Rx","SH041","Indigo Carmine soln 0.8% inj (5cc vial uou)","item",11.88,1.00,,"000",,,
"59070","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"59070","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,,
"59070","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,,"000",,,
"59070","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"59072","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59074","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"59074","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"000",,,
"59074","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,3.00,,"000",,,
"59074","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"59074","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,2.00,,"000",,,
"59074","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"000",,,
"59074","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"000",,,
"59074","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"59074","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"59074","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"59074","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,,"000",,,
"59074","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"59076","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59100","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59100","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59100","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59100","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"59120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59120","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59120","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"59121","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59121","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59121","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59121","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59121","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"59130","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59130","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59130","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59130","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59130","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"59135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59135","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59135","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59135","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59135","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"59136","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59136","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59136","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59136","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59136","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,5.00,"090",,"Apr06","J"
"59140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.50,"090",,"Aug03","7"
"59140","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.50,"090",,"Aug03","7"
"59140","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.50,"090",,"Aug03","7"
"59140","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,,1.50,"090",,"Aug03","7"
"59150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59150","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59150","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59150","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59150","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,8.00,"090",,"Apr06","J"
"59151","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"59151","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59151","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59151","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,"Apr06","J"
"59160","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Feb05",
"59160","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Feb05",
"59160","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,"Feb05",
"59160","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"010",,"Feb05",
"59160","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"010",,"Feb05",
"59160","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,0.00,"010","Feb05","Feb05",
"59160","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,0.00,"010","Feb05","Feb05",
"59160","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"010",,"Feb05",
"59160","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,100.00,0.00,"010",,"Feb05",
"59160","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"Feb05",
"59160","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"010",,"Feb05",
"59200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"59200","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"59200","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"59200","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"59200","RUC","Pharmacy, Rx","SH045","Laminaria tent","item",3.58,3.00,,"000",,,
"59200","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,,"000",,,
"59200","RUC","Infection Control","SM003","autoclave tape","yd",0.09,1.00,,"000",,,
"59300","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Feb05",
"59300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb05",
"59300","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,0.00,"000",,"Feb05",
"59300","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"Feb05",
"59300","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Feb05",
"59300","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"Feb05",
"59300","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"000",,"Feb05",
"59300","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,0.00,"000",,"Feb05",
"59300","RUC","Wound Care, Dressings","SG062","packing, gauze plain 0.25-0.50in (5 yd uou)","item",4.02,0.40,0.00,"000",,"Feb05",
"59300","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,15.00,0.00,"000",,"Feb05",
"59300","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,0.50,0.00,"000",,"Feb05",
"59300","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,45.00,0.00,"000",,"Feb05",
"59300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Feb05",
"59320","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59325","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59350","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,14.00,"MMM",,,
"59400","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"MMM",,,
"59400","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"MMM",,,
"59400","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,,13.00,"MMM",,,
"59400","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,,650.00,"MMM",,,
"59400","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,,13.00,"MMM",,,
"59409","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,,
"59410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"MMM",,"CPT11","MD Time"
"59410","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"MMM",,"CPT11","MD Time"
"59412","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,,
"59414","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,,
"59425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,,"MMM",,,
"59425","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"MMM",,,
"59425","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,5.00,,"MMM",,,
"59425","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,250.00,,"MMM",,,
"59425","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,5.00,,"MMM",,,
"59426","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,10.00,,"MMM",,,
"59426","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"MMM",,,
"59426","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,10.00,,"MMM",,,
"59426","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,500.00,,"MMM",,,
"59426","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,10.00,,"MMM",,,
"59430","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"MMM",,"CPT11","MD Time"
"59430","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,,"MMM",,"CPT11","MD Time"
"59430","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"MMM",,"CPT11","MD Time"
"59430","RUC","Accessory, Procedure","SD118","specula, vaginal","item",0.54,2.00,,"MMM",,"CPT11","MD Time"
"59430","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,2.00,,"MMM",,"CPT11","MD Time"
"59430","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,100.00,,"MMM",,"CPT11","MD Time"
"59430","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,2.00,,"MMM",,"CPT11","MD Time"
"59510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,15.00,"MMM",,"CPT11","MD Time"
"59510","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"MMM",,,
"59510","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"MMM",,,
"59510","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"MMM",,,
"59510","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"MMM",,,
"59510","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,,13.00,"MMM",,,
"59510","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,,650.00,"MMM",,,
"59510","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,,13.00,"MMM",,,
"59514","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,,
"59515","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"MMM",,"CPT11","MD Time"
"59515","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"MMM",,"CPT11","MD Time"
"59515","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"MMM",,"CPT11","MD Time"
"59525","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"59610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,14.00,"MMM",,,
"59610","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"MMM",,,
"59610","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"MMM",,,
"59610","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,,13.00,"MMM",,,
"59610","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,,650.00,"MMM",,,
"59610","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,,13.00,"MMM",,,
"59612","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,,
"59614","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,"CPT11","MD Time"
"59618","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,15.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,,4.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Pharmacy, NonRx","SJ054","test strip, glucose-protein (Chemstrip GP, Uristix)","item",0.25,,12.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,,600.00,"MMM",,"CPT11","MD Time"
"59618","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,,12.00,"MMM",,"CPT11","MD Time"
"59620","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"MMM",,,
"59622","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"MMM",,,
"59622","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"MMM",,,
"59622","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"MMM",,"CPT11","MD Time"
"59812","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Apr06","J"
"59812","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"090",,"Apr06","J"
"59812","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"090",,"Apr06","J"
"59812","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"090",,"Apr06","J"
"59812","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Apr06","J"
"59812","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Apr06","J"
"59812","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Apr06","J"
"59812","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Apr06","J"
"59812","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"090",,"Apr06","J"
"59812","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Apr06","J"
"59812","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,0.00,"090",,"Apr06","J"
"59812","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Apr06","J"
"59820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Aug03","7"
"59820","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,3.00,2.00,"090",,"Aug03","7"
"59820","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,3.00,2.00,"090",,"Aug03","7"
"59820","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","7"
"59820","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","7"
"59820","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","7"
"59820","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","7"
"59820","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,0.00,"090",,"Aug03","7"
"59820","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Aug03","7"
"59820","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"090",,"Aug03","7"
"59820","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Aug03","7"
"59820","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,0.00,"090",,"Aug03","7"
"59820","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Aug03","7"
"59821","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.50,1.50,"090",,"Aug03","7"
"59821","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,2.50,1.50,"090",,"Aug03","7"
"59821","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Aug03","7"
"59821","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"090",,"Aug03","7"
"59821","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"090",,"Aug03","7"
"59821","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,0.00,"090",,"Aug03","7"
"59821","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Aug03","7"
"59830","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"59830","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,,
"59830","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"59830","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"59840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"59840","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"59840","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"59841","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"59841","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,2.00,1.00,"010",,,
"59841","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,1.00,"010",,,
"59841","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"010",,,
"59841","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,,"010",,,
"59841","RUC","Hypodermic, IV","SC063","syringe-needle 10ml 26g","item",0.27,1.00,,"010",,,
"59841","RUC","Accessory, Procedure","SD039","curette, suction, endometrial (Pipelle)","item",4.12,1.00,,"010",,,
"59841","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"010",,,
"59841","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"010",,,
"59841","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,,"010",,,
"59841","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"59850","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"59850","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"59850","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"59850","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,"Apr06","J"
"59851","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"59851","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,2.00,"090",,"Apr06","J"
"59851","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,2.00,"090",,"Apr06","J"
"59851","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,"Apr06","J"
"59852","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"59852","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,3.00,"090",,"Apr06","J"
"59852","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59852","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090",,"Apr06","J"
"59852","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,"Apr06","J"
"59855","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"59855","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"59855","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59855","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"59855","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,"Apr06","J"
"59856","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"59856","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"59856","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"59856","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,"Apr06","J"
"59857","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr06","J"
"59857","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,1.00,"090",,"Apr06","J"
"59857","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,"Apr06","J"
"59857","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,"Apr06","J"
"59866","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"59870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"59870","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,,4.00,"090",,"Apr06","J"
"59870","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"Apr06","J"
"59870","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,4.00,"090",,"Apr06","J"
"59870","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,4.00,"090",,"Apr06","J"
"59871","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"000","15851",,
"59871","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000","15851",,
"59871","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000","15851",,
"59871","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000","15851",,
"59871","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000","15851",,
"59871","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000","15851",,
"59871","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000","15851",,
"59871","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000","15851",,
"59871","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000","15851",,
"59871","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000","15851",,
"59871","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000","15851",,
"59871","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"000","15851",,
"59871","RUC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"000","15851",,
"59871","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000","15851",,
"59871","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000","15851",,
"59871","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000","15851",,
"59871","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000","15851",,
"59871","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000","15851",,
"59871","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000","15851",,
"59897","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"59898","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"59899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"60000","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,2.00,1.00,"010",,,
"60000","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,1.00,"010",,,
"60000","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"010",,,
"60000","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,2.00,"010",,,
"60000","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"010",,,
"60000","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,1.00,"010",,,
"60000","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,1.00,"010",,,
"60000","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"60000","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"010",,,
"60000","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"60000","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,,"010",,,
"60000","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,2.00,2.00,"010",,,
"60000","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,4.00,"010",,,
"60000","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"010",,,
"60000","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,2.00,"010",,,
"60000","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,3.00,"010",,,
"60000","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,,"010",,,
"60000","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,1.00,"010",,,
"60000","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,3.00,,"010",,,
"60000","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,,"010",,,
"60000","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,1.00,"010",,,
"60000","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,60.00,60.00,"010",,,
"60000","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,,"010",,,
"60000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,2.00,"010",,,
"60000","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,1.00,1.00,"010",,,
"60000","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,1.00,"010",,,
"60100","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"60100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"60100","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"60100","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"60100","RUC","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"000",,,
"60100","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"60100","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"60100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"60200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"60200","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60200","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60200","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60200","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60200","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60200","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60200","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60210","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60210","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60210","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60210","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60210","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60210","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60210","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60212","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60212","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60212","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60212","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60212","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60212","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60212","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60212","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60220","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60220","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60220","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60220","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60220","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60220","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60220","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60225","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"60225","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60225","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60225","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60225","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60225","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60225","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60225","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60240","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60240","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60240","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60240","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60240","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60240","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60240","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60240","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60252","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60252","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60252","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60252","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60252","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60252","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60252","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60252","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60254","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60254","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60254","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60254","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60254","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60254","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60254","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60254","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60260","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60260","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60260","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60260","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60260","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60260","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60260","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60260","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60270","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60270","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60270","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60270","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60270","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60270","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60270","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60271","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60271","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60271","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60271","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60271","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60271","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60271","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60271","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"60280","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60280","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60280","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60280","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60280","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60280","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60280","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"60281","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60281","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60281","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60281","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60281","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60281","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60281","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60300","RUC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"000",,"CPT08","rn"
"60300","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"000",,"CPT08","rn"
"60500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60500","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60500","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60500","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60500","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60500","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60500","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60502","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"60502","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60502","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60502","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60502","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60502","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60502","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,"Apr06","J"
"60505","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60505","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60505","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60505","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60505","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60505","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60505","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60512","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"60520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60520","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60520","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60520","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60520","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60520","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60520","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60521","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60521","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60521","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60521","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60521","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60521","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60521","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60521","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60522","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"60522","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60522","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60522","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60522","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60522","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60522","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60522","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"60540","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60540","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60540","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60540","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60540","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60540","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60540","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"60545","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"60545","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60545","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60545","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60545","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60545","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60545","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60600","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"60600","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,1.00,"090",,,
"60600","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,,
"60600","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,1.00,"090",,,
"60600","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,20.00,"090",,,
"60600","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,180.00,"090",,,
"60600","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,1.00,"090",,,
"60605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60605","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Apr06","J"
"60605","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,,4.00,"090",,,
"60605","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,32.00,"090",,,
"60605","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,8.00,"090",,,
"60605","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,,
"60605","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090",,,
"60605","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"60605","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"60605","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,8.00,"090",,,
"60605","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,3.00,"090",,,
"60605","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,,4.00,"090",,,
"60650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"60650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","50546",,
"60659","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"60699","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"61000","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61001","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61020","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61026","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61050","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61055","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61070","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61105","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"61105","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61107","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61108","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61108","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61120","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61140","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61150","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61150","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61151","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61151","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61154","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61154","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61156","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61156","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61210","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61215","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61250","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61253","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61253","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61304","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61304","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61305","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61312","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61312","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61313","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61313","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61314","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61314","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61315","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61315","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61316","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61320","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61321","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61321","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61322","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61323","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61330","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61330","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61332","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61332","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61333","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61333","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61334","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61334","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61340","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61340","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"61343","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61343","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61343","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61345","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61345","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61345","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61440","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61440","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61450","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61450","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61458","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61458","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61458","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61460","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61460","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61460","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61470","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61470","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61470","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61480","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61480","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61480","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61490","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61490","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61490","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61500","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61500","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61500","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61501","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61501","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61501","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"61510","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61510","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61512","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61512","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61512","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61514","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61514","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61514","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61516","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61516","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61516","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61517","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61518","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"61518","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61518","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61519","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61519","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61519","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"61520","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61520","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61521","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61521","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61521","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61522","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61522","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61522","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61524","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61524","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61524","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61526","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61526","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61526","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61530","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61530","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61531","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61531","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61531","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61533","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61533","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61533","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61534","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61534","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61534","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61535","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61535","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61535","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61536","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61536","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61536","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61537","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"61537","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61538","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61538","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61538","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61539","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61539","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61539","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61540","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61540","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61541","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61541","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61541","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61542","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61542","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61542","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61543","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61543","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61543","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61544","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61544","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61544","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61545","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"61545","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61545","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61546","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61546","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61546","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61548","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61548","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61548","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61550","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61550","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61550","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61552","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61552","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61552","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61556","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61556","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61556","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61557","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61557","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61557","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61558","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61558","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61558","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61559","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"61559","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61559","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61563","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61563","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61563","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61564","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61564","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61564","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61566","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61566","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61567","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61567","RUC","Kit, Pack, Tray","SA055","pack, post-op incision care, craniotomy","pack",7.30,,1.00,"090",,,
"61570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61570","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61570","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61571","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61571","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61571","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61575","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61575","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61575","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61576","RUC","Kit, Pack, Tray","SA035","kit, tracheostomy care","kit",2.08,,2.00,"090",,"Jan04","21"
"61576","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"61576","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Jan04","21"
"61576","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"61576","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Jan04","21"
"61576","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Jan04","21"
"61576","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Jan04","21"
"61576","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Jan04","21"
"61576","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"61576","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"61576","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,2.00,"090",,"Jan04","21"
"61576","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Jan04","21"
"61576","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Jan04","21"
"61576","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,12.00,"090",,"Jan04","21"
"61576","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,8.00,"090",,"Jan04","21"
"61576","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,8.00,"090",,"Jan04","21"
"61576","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Jan04","21"
"61576","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Jan04","21"
"61576","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Jan04","21"
"61576","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,"Jan04","21"
"61576","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"61580","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61580","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61580","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61580","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61580","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61580","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61580","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61580","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61580","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61580","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61580","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61580","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61580","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,5.00,"090",,,
"61580","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.50,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,5.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,5.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61580","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61580","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,5.00,"090",,,
"61580","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,10.00,"090",,,
"61580","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,5.00,"090",,,
"61580","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,10.00,"090",,,
"61581","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61581","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61581","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,6.00,"090",,,
"61581","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61581","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,,
"61581","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,6.00,"090",,,
"61581","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,6.00,"090",,,
"61581","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,6.00,"090",,,
"61581","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,6.00,"090",,,
"61581","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,6.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,24.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,24.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61581","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61581","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,6.00,"090",,,
"61581","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,6.00,"090",,,
"61581","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,3.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,30.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,6.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,6.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,6.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,30.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61581","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61581","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,6.00,"090",,,
"61581","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,12.00,"090",,,
"61581","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,6.00,"090",,,
"61581","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,12.00,"090",,,
"61582","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61582","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61582","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61582","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61582","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61582","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61582","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61582","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61582","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61582","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61582","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61582","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61582","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,5.00,"090",,,
"61582","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.50,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,5.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,5.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61582","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61582","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,5.00,"090",,,
"61582","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,10.00,"090",,,
"61582","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,5.00,"090",,,
"61582","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,10.00,"090",,,
"61583","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61583","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61583","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61583","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61583","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61583","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61583","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61583","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61583","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61583","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61583","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61583","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61583","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,3.00,"090",,,
"61583","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.50,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,3.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61583","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61583","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,3.00,"090",,,
"61583","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,6.00,"090",,,
"61583","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,3.00,"090",,,
"61583","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,6.00,"090",,,
"61584","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61584","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61584","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61584","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61584","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61584","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61584","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61584","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61584","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61584","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61584","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61584","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61584","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,3.00,"090",,,
"61584","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.50,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,3.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61584","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61584","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,3.00,"090",,,
"61584","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,6.00,"090",,,
"61584","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,3.00,"090",,,
"61584","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,6.00,"090",,,
"61585","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61585","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61585","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61585","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61585","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61585","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61585","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61585","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61585","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61585","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61585","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61585","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,3.00,"090",,,
"61585","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,1.50,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,3.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,3.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61585","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61585","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,3.00,"090",,,
"61585","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,6.00,"090",,,
"61585","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,3.00,"090",,,
"61585","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,6.00,"090",,,
"61586","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61586","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61586","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61586","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61586","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61586","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61586","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61586","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61586","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61586","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61586","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61586","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61586","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,,4.00,"090",,,
"61586","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,,2.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,,4.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ040","phenylephrine 1% nasal spray (NeoSynephrine)","ml",0.33,,4.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61586","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61586","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,,4.00,"090",,,
"61586","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,8.00,"090",,,
"61586","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,,4.00,"090",,,
"61586","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,8.00,"090",,,
"61590","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61590","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61590","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61590","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61590","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61590","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61590","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61590","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61590","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61590","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61590","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61590","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61590","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61591","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61591","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61591","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61591","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61591","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61591","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61591","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61591","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61591","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61591","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61591","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61591","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61591","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61592","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61592","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61592","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61592","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61592","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61592","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61592","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61592","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61592","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61592","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61592","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61592","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61592","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61595","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61595","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61595","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61595","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61595","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61595","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61595","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61595","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61595","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61595","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61595","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61595","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61595","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61596","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61596","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61596","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61596","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61596","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61596","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61596","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61596","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61596","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61596","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61596","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61596","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61596","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61597","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61597","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61597","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61597","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61597","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61597","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61597","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61597","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61597","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61597","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61597","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61597","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61597","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61598","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61598","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61598","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61598","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61598","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61598","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61598","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61598","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61598","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61598","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61598","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61598","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61598","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61600","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61600","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61600","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61600","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61600","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61600","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61600","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61600","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61600","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61600","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61600","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61600","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61601","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61601","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61601","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61601","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61601","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61601","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61601","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61601","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61601","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61601","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61601","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61601","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61601","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61605","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61605","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,5.00,"090",,,
"61605","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61605","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,,
"61605","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,5.00,"090",,,
"61605","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,,
"61605","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,,
"61605","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,5.00,"090",,,
"61605","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,5.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,20.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,20.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,5.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61605","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61605","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61605","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61606","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61606","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61606","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61606","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61606","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61606","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61606","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61606","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61606","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61606","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61606","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61606","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61607","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61607","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61607","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61607","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61607","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61607","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61607","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61607","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61607","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61607","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61607","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61607","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61607","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61608","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61608","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61608","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61608","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61608","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61608","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61608","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61608","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61608","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61608","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61608","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61608","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61608","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61609","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61610","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61611","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61612","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61613","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61613","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61613","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61613","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61613","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,3.00,"090",,,
"61613","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,3.00,"090",,,
"61613","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,,
"61613","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,,
"61613","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,3.00,"090",,,
"61613","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,3.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,12.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,12.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,3.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61613","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61613","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61613","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61615","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61615","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61615","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61615","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61615","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61615","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61615","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61615","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61615","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61615","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61615","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61615","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61616","RUC","Kit, Pack, Tray","SA030","kit, staple removal","kit",1.20,,1.00,"090",,,
"61616","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090",,,
"61616","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"61616","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,,
"61616","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,,
"61616","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,,4.00,"090",,,
"61616","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,,
"61616","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,,
"61616","RUC","Accessory, Procedure","SD010","canister, vacuum","item",5.45,,4.00,"090",,,
"61616","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,,4.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,,1.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,,16.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,1.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,16.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,2.00,"090",,,
"61616","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"61616","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,20.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,,2.00,"090",,,
"61616","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,,
"61618","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61618","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61618","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61619","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61619","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61619","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61623","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61624","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61626","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"61630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"61635","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090","88170","RUC05",
"61640","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"RUC05",
"61641","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"61642","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"61680","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61680","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61680","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61682","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61682","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61682","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61684","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61684","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61684","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61686","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61686","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61686","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61690","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61690","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61690","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61692","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61692","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61692","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61697","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61697","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"61697","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61698","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61698","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"61698","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61700","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61702","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61702","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61702","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61703","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61703","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61703","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61705","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61705","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61705","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61708","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61708","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61708","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61710","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61710","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61710","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61711","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61711","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61711","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61720","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61720","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61720","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61735","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61735","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61735","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61750","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61750","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61750","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61751","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61751","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61751","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"61760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61760","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61770","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61770","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61770","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61790","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61790","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61790","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61791","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61791","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61791","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61796","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","17"
"61797","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT09","17"
"61798","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","17"
"61799","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT09","17"
"61800","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"ZZZ",,"CPT09","17"
"61850","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61850","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61850","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61860","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61860","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61860","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61863","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61863","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"61864","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61867","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"61867","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"61868","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"61870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61870","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61870","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61875","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61875","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61875","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61880","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"61880","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"61880","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61885","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","32"
"61885","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","32"
"61885","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"61886","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"61886","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","61885",,
"61886","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","61885",,
"61888","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,"Feb05",
"61888","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"010",,"Feb05",
"62000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62000","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62000","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62005","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62005","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"62010","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62010","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"62100","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62100","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62115","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"62115","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62115","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62116","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"62116","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62116","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62117","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"62117","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62117","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62120","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Jan04","21"
"62120","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"62120","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"62120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,4.00,"090",,"Jan04","21"
"62120","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"62120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"62120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"62120","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"62120","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"62120","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,16.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"62120","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"62120","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"62120","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"62120","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"62120","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"62120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"62120","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"62120","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"62121","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Jan04","21"
"62121","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"62121","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.00,"090",,"Jan04","21"
"62121","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Jan04","21"
"62121","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.00,"090",,"Jan04","21"
"62121","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"62121","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"62121","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Jan04","21"
"62121","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Jan04","21"
"62121","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"62121","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,8.00,"090",,"Jan04","21"
"62121","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,2.00,"090",,"Jan04","21"
"62121","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Jan04","21"
"62121","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Jan04","21"
"62121","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Jan04","21"
"62121","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,10.00,"090",,"Jan04","21"
"62121","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"62121","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,2.00,"090",,"Jan04","21"
"62140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62140","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62140","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62141","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62141","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62141","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62142","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62142","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62142","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62143","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62143","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62143","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62145","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62145","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62146","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62146","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62146","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62147","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62147","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62147","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62148","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"62160","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"62161","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"62161","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"62162","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"62162","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"62163","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"62163","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"62164","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"62164","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"62165","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"62165","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"62180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62180","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62180","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62190","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62190","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62190","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62192","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62192","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62192","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62194","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"010",,"Feb05",
"62194","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"010",,"Feb05",
"62200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62200","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62200","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62201","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"62201","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62201","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62220","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62220","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62223","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"62223","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62223","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62225","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62225","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62225","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62230","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62230","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62252","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"62256","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62256","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62256","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62258","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62258","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62258","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62263","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"62263","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"010",,"Feb08","cs"
"62263","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,,
"62263","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"010",,,
"62263","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,3.00,,"010",,,
"62263","RUC","Hypodermic, IV","SC038","needle, epidural (RK)","item",10.00,1.00,,"010",,,
"62263","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,6.00,,"010",,,
"62263","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,3.00,,"010",,,
"62263","RUC","Accessory, Procedure","SD028","catheter, Racz (Tun-L-Kath)","item",62.27,1.00,,"010",,,
"62263","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"010",,,
"62263","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"62264","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"62264","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"010",,,"cs"
"62264","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"010",,,
"62264","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"010",,,
"62264","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,1.00,,"010",,,
"62264","RUC","Hypodermic, IV","SC038","needle, epidural (RK)","item",10.00,1.00,,"010",,,
"62264","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"62264","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,,
"62264","RUC","Accessory, Procedure","SD028","catheter, Racz (Tun-L-Kath)","item",62.27,1.00,,"010",,,
"62264","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"62267","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,"CPT09","18"
"62267","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT09","18"
"62267","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT09","18"
"62267","RUC","Hypodermic, IV","SC035","needle, Chiba","item",8.47,1.00,,"000",,"CPT09","18"
"62267","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,,"000",,"CPT09","18"
"62267","RUC","Lab","SL262","Anerobic culture tube","item",,1.00,,"000",,"CPT09","18"
"62268","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,0.00,,"000",,"CPT11","Letter"
"62268","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,,"000",,"CPT11","Letter"
"62268","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,0.00,,"000",,"CPT11","Letter"
"62268","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,0.00,,"000",,"CPT11","Letter"
"62269","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,0.00,,"000",,"CPT11","Letter"
"62269","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,,"000",,"CPT11","Letter"
"62269","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,0.00,,"000",,"CPT11","Letter"
"62269","RUC","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,0.00,,"000",,"CPT11","Letter"
"62270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"62270","RUC","Kit, Pack, Tray","SA065","tray, lumbar puncture","tray",18.55,1.00,,"000",,,
"62270","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"62270","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"62270","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"62270","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"62270","RUC","Hypodermic, IV","SC048","spinal manometer","item",26.32,1.00,,"000",,,
"62270","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"62270","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"62272","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"62272","RUC","Kit, Pack, Tray","SA068","tray, spinal anesthesia","tray",21.83,1.00,,"000",,,
"62272","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"62272","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"62272","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"62272","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"62272","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,,
"62272","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"62272","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"62272","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"62272","RUC","Hypodermic, IV","SC048","spinal manometer","item",26.32,1.00,,"000",,,
"62272","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"62272","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"62272","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"62272","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"62273","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"62273","RUC","Kit, Pack, Tray","SA065","tray, lumbar puncture","tray",18.55,1.00,,"000",,,
"62273","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,,
"62273","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"62273","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"62273","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"62273","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"000",,,
"62273","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"62273","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"62273","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"62273","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,5.00,,"000",,,
"62273","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"62273","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,,
"62273","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000",,,
"62273","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"000",,,
"62280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Kit, Pack, Tray","SA068","tray, spinal anesthesia","tray",21.83,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Jan04","5"
"62280","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Jan04","5"
"62280","RUC","Pharmacy, Rx","SH055","phenol 1000ppm","ml",0.05,10.00,0.00,"010",,"Jan04","5"
"62281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Jan04","5"
"62281","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"010",,"Jan04","5"
"62281","RUC","Pharmacy, Rx","SH055","phenol 1000ppm","ml",0.05,10.00,0.00,"010",,"Jan04","5"
"62282","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Jan04","5"
"62282","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"010",,"Jan04","5"
"62282","RUC","Pharmacy, Rx","SH055","phenol 1000ppm","ml",0.05,10.00,0.00,"010",,"Jan04","5"
"62284","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"62284","RUC","Kit, Pack, Tray","SA066","tray, myelogram","tray",23.86,1.00,,"000",,,
"62284","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"62284","RUC","Hypodermic, IV","SC042","needle, spine, Sprotte","item",8.60,1.00,,"000",,,
"62287","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"62287","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"62287","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"62290","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"62290","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"62290","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"62290","RUC","Hypodermic, IV","SC035","needle, Chiba","item",8.47,1.00,,"000",,,
"62290","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"000",,,
"62291","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"62291","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"62291","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"62291","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"000",,,
"62292","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62294","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"62310","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"62310","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,0.00,"000",,"Jan04","5"
"62310","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"62310","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","5"
"62310","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"62310","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Jan04","5"
"62310","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","5"
"62311","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Jan04","5"
"62311","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"62318","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"62318","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,0.00,"000",,"Jan04","5"
"62318","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"62318","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","5"
"62318","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"62318","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Jan04","5"
"62318","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Kit, Pack, Tray","SA064","tray, epidural","tray",23.82,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Jan04","5"
"62319","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Jan04","5"
"62319","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"Jan04","5"
"62350","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr08","ss"
"62350","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","63780",,
"62350","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","63780",,
"62351","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"62351","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","63750",,
"62351","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","63750",,
"62355","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Feb08","ss"
"62355","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","61888",,
"62355","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","61888",,
"62360","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr08","ss"
"62360","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","63780",,
"62360","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","63780",,
"62361","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Feb08","ss"
"62361","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","63750",,
"62361","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","63750",,
"62362","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Feb08","ss"
"62362","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","63780",,
"62362","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090","63780",,
"62365","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Apr08","ss"
"62365","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"62367","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 15"
"62368","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Kit, Pack, Tray","SA076","kit, refill for implantable medication pump","item",28.00,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX",,"CPT12","May 15"
"62369","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Kit, Pack, Tray","SA076","kit, refill for implantable medication pump","item",28.00,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX",,"CPT12","May 15"
"62370","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT12","May 15"
"63001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"63001","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63003","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,,
"63003","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63005","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63011","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63011","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63012","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63012","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63015","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63016","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63016","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63017","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63017","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63020","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63030","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63035","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63040","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63042","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63042","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63043","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63044","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63045","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63045","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63046","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63046","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63047","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63047","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63048","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63050","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63050","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"63051","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63051","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,,
"63055","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63055","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63056","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63056","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63057","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63064","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63064","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63066","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63075","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63075","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63076","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63077","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63077","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63078","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63081","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63081","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63082","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63085","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63085","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63086","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63087","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63087","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63088","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63090","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,,
"63090","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"63091","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"63101","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"63102","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"63102","RUC","Kit, Pack, Tray","SA056","pack, post-op incision care, neurosurgical","pack",6.20,,1.00,"090",,,
"63103","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63170","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63170","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63172","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63172","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63173","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63173","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63180","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63180","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63182","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63182","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63185","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63185","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63190","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63190","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63191","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63191","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63194","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63194","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,2.00,"090",,,
"63195","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63195","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63196","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63196","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63197","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63197","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63198","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63198","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63199","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63199","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63200","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63200","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63250","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63250","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63251","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63251","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63251","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63252","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63252","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63252","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63265","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63265","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63265","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63266","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63266","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63266","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63267","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63267","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63267","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63268","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63268","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63268","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63270","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63270","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63270","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63271","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63271","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63271","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63272","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63272","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63272","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63273","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63273","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63273","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63275","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63275","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63275","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63276","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63276","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63276","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63277","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63277","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63277","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63278","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63278","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63278","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63280","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63280","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63281","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63281","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63282","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63282","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63282","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63283","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63283","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63283","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63285","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63285","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63286","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63286","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63286","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63287","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63287","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63287","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63290","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63290","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63290","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63295","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63300","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63300","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63301","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63301","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63301","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63302","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63302","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63302","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63303","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63303","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63303","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63304","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63304","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63304","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63305","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63305","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63306","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63306","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63306","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63307","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63307","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63307","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63308","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"63600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63610","RUC","Kit, Pack, Tray","SA022","kit, percutaneous neuro test stimulation","kit",305.00,0.00,,"000",,"CPT11","Letter"
"63610","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,0.00,,"000",,"CPT11","Letter"
"63610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,,"000",,"CPT11","Letter"
"63610","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,0.00,,"000",,"CPT11","Letter"
"63610","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,0.00,,"000",,"CPT11","Letter"
"63615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"CPT09","17"
"63621","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT09","17"
"63650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Feb08","ss"
"63650","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63650","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63655","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","33"
"63655","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","33"
"63661","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,"CPT10","33"
"63661","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT10","33"
"63661","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT10","33"
"63661","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT10","33"
"63661","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"CPT10","33"
"63661","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"CPT10","33"
"63661","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"010",,"CPT10","33"
"63661","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,"CPT10","33"
"63661","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,"CPT10","33"
"63661","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT10","33"
"63661","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT10","33"
"63661","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT10","33"
"63661","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,"CPT10","33"
"63661","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT10","33"
"63661","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"010",,"CPT10","33"
"63662","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","33"
"63662","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","33"
"63663","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,"CPT10","33"
"63663","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT10","33"
"63663","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT10","33"
"63663","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"010",,"CPT10","33"
"63663","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"010",,"CPT10","33"
"63663","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"CPT10","33"
"63663","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"010",,"CPT10","33"
"63663","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,"CPT10","33"
"63663","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,"CPT10","33"
"63663","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,"CPT10","33"
"63663","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,"CPT10","33"
"63663","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,"CPT10","33"
"63663","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,"CPT10","33"
"63663","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,"CPT10","33"
"63663","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"010",,"CPT10","33"
"63664","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"CPT10","33"
"63664","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT10","33"
"63685","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Feb08","ss"
"63685","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63685","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63688","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,"Feb08","ss"
"63688","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63688","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63700","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63700","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"63702","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63702","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63702","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"63704","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"63704","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63704","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"63706","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"63706","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63706","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,4.00,"090",,,
"63707","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63707","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63707","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63709","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63709","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63709","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63710","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63710","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63710","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"63740","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63740","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63741","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63741","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63741","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63744","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63744","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63744","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"63746","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"63746","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"63746","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64400","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64400","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64400","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64400","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64402","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64402","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64402","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64402","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64402","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64405","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,,
"64405","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,,
"64405","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"000",,,
"64405","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"000","64721",,
"64405","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"64405","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,,
"64405","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64405","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"000",,,
"64405","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,,
"64405","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64405","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,,"000",,,
"64405","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,,
"64408","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64408","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64408","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64408","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64408","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64410","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64410","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64410","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64410","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"000",,,
"64410","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64412","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64412","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64412","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64412","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"000",,,
"64412","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64413","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64413","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64413","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64413","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64413","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64415","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"CPT11","56"
"64415","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,0.00,"000",,"CPT11","56"
"64415","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,30.00,0.00,"000",,"CPT11","56"
"64416","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,"CPT09","rv"
"64417","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64417","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64417","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"000",,,
"64417","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"000",,,
"64417","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,,"000",,,
"64418","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64418","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64418","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,,
"64418","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"000",,,
"64418","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"000",,,
"64420","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64420","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64420","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64420","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64421","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64421","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64421","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,3.00,,"000",,,
"64421","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"64421","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64425","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64425","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64425","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64425","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64430","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64430","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64430","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"64430","RUC","Hypodermic, IV","SC040","needle, Kopan","item",18.75,1.00,,"000",,,
"64430","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64430","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64435","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64435","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64435","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"000",,,
"64435","RUC","Hypodermic, IV","SC040","needle, Kopan","item",18.75,1.00,,"000",,,
"64435","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64435","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64445","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"CPT11","56"
"64445","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,0.00,"000",,"CPT11","56"
"64445","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,30.00,0.00,"000",,"CPT11","56"
"64446","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,"CPT09","rv"
"64447","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"CPT11","56"
"64447","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,0.00,"000",,"CPT11","56"
"64447","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,30.00,0.00,"000",,"CPT11","56"
"64448","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,"CPT09","rv"
"64449","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"010",,"CPT09","rv"
"64450","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64450","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"64450","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64455","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"000",,"CPT09","20"
"64455","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"CPT09","20"
"64455","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"000",,"CPT09","20"
"64455","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT09","20"
"64455","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"CPT09","20"
"64455","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"CPT09","20"
"64455","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"000",,"CPT09","20"
"64455","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,"CPT09","20"
"64455","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"CPT09","20"
"64479","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,"CPT11","33"
"64479","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","33"
"64479","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","33"
"64479","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT11","33"
"64479","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT11","33"
"64479","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,"CPT11","33"
"64479","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,2.00,,"000",,"CPT11","33"
"64480","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"CPT11","33"
"64483","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,"CPT11","33"
"64483","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","33"
"64483","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"000",,"CPT11","33"
"64483","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,"CPT11","33"
"64483","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"000",,"CPT11","33"
"64483","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"000",,"CPT11","33"
"64483","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,2.00,,"000",,"CPT11","33"
"64484","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"CPT11","33"
"64490","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"CPT10","34"
"64490","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","34"
"64490","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT10","34"
"64490","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"CPT10","34"
"64490","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT10","34"
"64490","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,3.00,0.00,"000",,"CPT10","34"
"64490","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,2.00,0.00,"000",,"CPT10","34"
"64491","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"CPT10","34"
"64491","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,3.00,0.00,"ZZZ",,"CPT10","34"
"64492","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"CPT10","34"
"64492","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"ZZZ",,"CPT10","34"
"64492","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,3.00,0.00,"ZZZ",,"CPT10","34"
"64493","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"CPT10","34"
"64493","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT10","34"
"64493","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT10","34"
"64493","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"000",,"CPT10","34"
"64493","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"CPT10","34"
"64493","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,0.00,"000",,"CPT10","34"
"64493","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,2.00,0.00,"000",,"CPT10","34"
"64494","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"CPT10","34"
"64494","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,0.00,"ZZZ",,"CPT10","34"
"64495","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,0.00,"ZZZ",,"CPT10","34"
"64495","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"ZZZ",,"CPT10","34"
"64495","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,0.00,"ZZZ",,"CPT10","34"
"64505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"000",,,
"64505","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64505","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"64505","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"000",,,
"64508","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,0.00,,"000",,"CPT11","Letter"
"64508","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,,"000",,"CPT11","Letter"
"64508","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,0.00,,"000",,"CPT11","Letter"
"64508","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,0.00,,"000",,"CPT11","Letter"
"64508","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,0.00,,"000",,"CPT11","Letter"
"64510","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"000",,,
"64510","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64510","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"64510","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"000",,,
"64517","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64517","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"64517","RUC","Hypodermic, IV","SC035","needle, Chiba","item",8.47,1.00,,"000",,,
"64517","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000",,,
"64517","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"64517","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,20.00,,"000",,,
"64517","RUC","Pharmacy, Rx","SH060","renographin-60","ml",0.38,1.00,,"000",,,
"64520","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64520","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"000",,,
"64520","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64520","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"64520","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,0.00,"000",,,
"64530","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"64530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"000",,,
"64530","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"000",,,
"64530","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"000",,,
"64530","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,10.00,,"000",,,
"64550","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"64550","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"64550","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"64550","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"000",,,
"64550","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"64550","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"000",,,
"64553","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"64553","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64553","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64553","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"64553","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"64555","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"64555","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64555","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64555","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"64555","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"64555","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"010",,,
"64555","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"64561","RUC","Kit, Pack, Tray","SA022","kit, percutaneous neuro test stimulation","kit",305.00,1.00,0.00,"010",,"Mar04","V"
"64561","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"Mar04","V"
"64561","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,0.00,"010",,"Mar04","V"
"64561","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"010",,"Mar04","V"
"64561","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"010",,"Mar04","V"
"64565","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"64565","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64565","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64565","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"64565","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"64566","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","11"
"64566","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,"CPT11","11"
"64566","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"000",,"CPT11","11"
"64566","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT11","11"
"64566","RUC","Accessory, Procedure","SD246","urgent PC lead","item",65.00,1.00,,"000",,"CPT11","11"
"64566","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"000",,"CPT11","11"
"64566","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,10.00,,"000",,"CPT11","11"
"64566","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,"CPT11","11"
"64568","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","32"
"64568","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","32"
"64569","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","32"
"64569","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","32"
"64570","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.00,2.00,"090",,"CPT11","32"
"64570","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,0.00,1.00,"090",,"CPT11","32"
"64575","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64575","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64575","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64580","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64580","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64580","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64581","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"090",,,
"64581","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"64585","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,"cs"
"64585","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"64585","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"64585","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"010",,,
"64585","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"64585","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"64585","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,,
"64585","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"010",,,
"64585","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"64585","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"64585","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"64585","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"64585","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"64585","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"64585","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"64585","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"64585","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"64585","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"64585","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"64585","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,5.00,,"010",,,
"64585","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,,
"64585","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"64585","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"64585","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"64585","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"64585","RUC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,,
"64585","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"64590","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,"cs"
"64590","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"64590","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"64590","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,,"010",,,
"64590","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"64590","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"64590","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,,
"64590","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"010",,,
"64590","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"64590","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"64590","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"64590","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"64590","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"64590","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"64590","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"64590","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"64590","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"64590","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"64590","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"64590","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,5.00,,"010",,,
"64590","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,,
"64590","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"64590","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"64590","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"64590","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"64590","RUC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,,
"64590","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"64595","RUC","Kit, Pack, Tray","SA046","pack, drapes, laparotomy (chest-abdomen)","pack",26.11,1.00,,"010",,,
"64595","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,"cs"
"64595","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,1.00,1.00,"010",,,
"64595","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"010",,,
"64595","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"010",,,
"64595","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,,
"64595","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,,"010",,,
"64595","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,,
"64595","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"010",,,
"64595","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"64595","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"64595","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"64595","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"010",,,
"64595","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,,
"64595","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"64595","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,,
"64595","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"64595","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"64595","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,,"010",,,
"64595","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,5.00,,"010",,,
"64595","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"010",,,
"64595","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"010",,,
"64595","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"010",,,
"64595","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"010",,,
"64595","RUC","Pharmacy, NonRx","SJ011","bulb syringe (Asepto)","item",0.99,1.00,,"010",,,
"64595","RUC","Pharmacy, NonRx","SJ017","DuraPrep surgical soln (26ml uou)","item",7.95,1.00,,"010",,,
"64595","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"010",,,
"64600","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,,
"64600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64600","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,1.00,0.00,"010",,,
"64600","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,,
"64605","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,,
"64605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64605","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,1.00,0.00,"010",,,
"64605","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,,
"64610","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"010",,,
"64610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64610","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,1.00,0.00,"010",,,
"64610","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"010",,,
"64611","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,"CPT11","12"
"64611","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"010",,"CPT11","12"
"64611","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"CPT11","12"
"64611","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,4.00,0.00,"010",,"CPT11","12"
"64611","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"CPT11","12"
"64611","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,4.00,0.00,"010",,"CPT11","12"
"64611","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,0.00,"010",,"CPT11","12"
"64611","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,0.00,"010",,"CPT11","12"
"64611","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,2.00,0.00,"010",,"CPT11","12"
"64612","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"CPT13","May 19"
"64612","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,"CPT13","May 19"
"64612","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,1.00,"010",,"CPT13","May 19"
"64612","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"010",,"CPT13","May 19"
"64612","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,"CPT13","May 19"
"64612","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,"CPT13","May 19"
"64612","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,3.00,,"010",,"CPT13","May 19"
"64613","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"010",,"RUC05",
"64613","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"010",,"RUC05",
"64613","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,"RUC05",
"64613","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,,"010",,"RUC05",
"64613","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,"RUC05",
"64613","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"010",,"RUC05",
"64613","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"010",,"RUC05",
"64613","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,"RUC05",
"64613","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,1.00,,"010",,"RUC05",
"64614","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"010",,"RUC05",
"64614","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,"RUC05",
"64614","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,4.00,,"010",,"RUC05",
"64614","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,"RUC05",
"64614","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,5.00,,"010",,"RUC05",
"64614","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"010",,"RUC05",
"64614","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"010",,"RUC05",
"64614","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,2.00,,"010",,"RUC05",
"64615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,1.00,"010",,"CPT13","May 19"
"64615","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"010",,"CPT13","May 19"
"64615","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,6.00,,"010",,"CPT13","May 19"
"64615","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,6.00,,"010",,"CPT13","May 19"
"64615","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,2.00,,"010",,"CPT13","May 19"
"64615","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"010",,"CPT13","May 19"
"64615","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,,"010",,"CPT13","May 19"
"64615","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"010",,"CPT13","May 19"
"64615","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,3.00,,"010",,"CPT13","May 19"
"64620","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64620","RUC","Accessory, Procedure","SD083","gas, nitrous oxide","liter",7.0e-03,1.00,,"010",,,
"64630","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64630","RUC","Kit, Pack, Tray","SA051","pack, pelvic exam","pack",1.17,1.00,,"010",,,
"64630","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"010",,,
"64630","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"64630","RUC","Pharmacy, Rx","SH055","phenol 1000ppm","ml",0.05,10.00,,"010",,,
"64632","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"010",,"CPT09","20"
"64632","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"010",,"CPT09","20"
"64632","RUC","Pharmacy, Rx","SH062","sclerosing solution inj","ml",2.02,1.00,0.00,"010",,"CPT09","20"
"64632","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"010",,"CPT09","20"
"64632","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"010",,"CPT09","20"
"64633","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,"CPT12","May 16"
"64633","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,"CPT12","May 16"
"64633","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,"CPT12","May 16"
"64633","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT12","May 16"
"64633","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"010",,"CPT12","May 16"
"64633","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,2.00,,"010",,"CPT12","May 16"
"64633","RUC","Accessory, Procedure","SD087","guide, needle, for localization","item",10.75,1.00,,"010",,"CPT12","May 16"
"64633","RUC","Accessory, Procedure","SD269","Grounding pad","item",2.76,1.00,,"010",,"CPT12","May 16"
"64633","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,3.00,,"010",,"CPT12","May 16"
"64633","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,1.00,,"010",,"CPT12","May 16"
"64634","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,2.00,,"ZZZ",,"CPT12","May 16"
"64634","RUC","Accessory, Procedure","SD087","guide, needle, for localization","item",10.75,1.00,,"ZZZ",,"CPT12","May 16"
"64634","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,3.00,,"ZZZ",,"CPT12","May 16"
"64634","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,1.00,,"ZZZ",,"CPT12","May 16"
"64635","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,"CPT12","May 16"
"64635","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"010",,"CPT12","May 16"
"64635","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"010",,"CPT12","May 16"
"64635","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,"CPT12","May 16"
"64635","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"010",,"CPT12","May 16"
"64635","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,2.00,,"010",,"CPT12","May 16"
"64635","RUC","Accessory, Procedure","SD087","guide, needle, for localization","item",10.75,1.00,,"010",,"CPT12","May 16"
"64635","RUC","Accessory, Procedure","SD269","Grounding pad","item",2.76,1.00,,"010",,"CPT12","May 16"
"64635","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,3.00,,"010",,"CPT12","May 16"
"64635","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,1.00,,"010",,"CPT12","May 16"
"64636","RUC","Accessory, Procedure","SD011","cannula (radiofrequency denervation) (SMK-C10)","item",25.00,2.00,,"ZZZ",,"CPT12","May 16"
"64636","RUC","Accessory, Procedure","SD087","guide, needle, for localization","item",10.75,1.00,,"ZZZ",,"CPT12","May 16"
"64636","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,3.00,,"ZZZ",,"CPT12","May 16"
"64636","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,1.00,,"ZZZ",,"CPT12","May 16"
"64640","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64640","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"010",,,
"64640","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,,
"64640","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"64640","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,,
"64640","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"010",,,
"64640","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,1.00,,"010",,,
"64640","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"010",,,
"64640","RUC","Pharmacy, Rx","SH021","bupivacaine 0.25% inj (Marcaine)","ml",0.25,5.00,,"010",,,
"64650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"RUC05",
"64650","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,"RUC05",
"64650","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"RUC05",
"64650","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"RUC05",
"64650","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"RUC05",
"64650","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"RUC05",
"64650","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,4.00,,"000",,"RUC05",
"64650","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,4.00,,"000",,"RUC05",
"64650","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,,"000",,"RUC05",
"64650","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"000",,"RUC05",
"64650","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,"RUC05",
"64650","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"000",,"RUC05",
"64650","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"RUC05",
"64650","RUC","Office Supply, Grocery","SK112","Federal Express cost (average across all zones)","item",29.56,1.00,,"000",,"RUC05",
"64653","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"RUC05",
"64653","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"000",,"RUC05",
"64653","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"RUC05",
"64653","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"RUC05",
"64653","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"RUC05",
"64653","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"RUC05",
"64653","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,4.00,,"000",,"RUC05",
"64653","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,4.00,,"000",,"RUC05",
"64653","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,,"000",,"RUC05",
"64653","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"000",,"RUC05",
"64653","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,,"000",,"RUC05",
"64653","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"000",,"RUC05",
"64653","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"RUC05",
"64653","RUC","Office Supply, Grocery","SK112","Federal Express cost (average across all zones)","item",29.56,1.00,,"000",,"RUC05",
"64680","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64680","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"64680","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"010",,,
"64680","RUC","Pharmacy, Rx","SH055","phenol 1000ppm","ml",0.05,10.00,,"010",,,
"64681","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"64681","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"010",,,
"64681","RUC","Hypodermic, IV","SC035","needle, Chiba","item",8.47,1.00,,"010",,,
"64681","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"010",,,
"64681","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"010",,,
"64681","RUC","Pharmacy, Rx","SH055","phenol 1000ppm","ml",0.05,1.00,,"010",,,
"64681","RUC","Pharmacy, Rx","SH060","renographin-60","ml",0.38,1.00,,"010",,,
"64702","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"64702","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64702","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64704","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64704","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64704","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64708","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr08","ss"
"64708","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64708","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64712","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64712","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64712","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64713","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"64713","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64713","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64714","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"64714","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64714","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64716","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64716","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"64716","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Jan04","21"
"64716","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"64716","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64716","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64716","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"64716","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64716","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,4.00,"090",,"Jan04","21"
"64716","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"64716","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"64716","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"64716","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"64718","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"64718","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64718","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64719","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64719","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64719","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64721","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090","64721","Apr06","J"
"64721","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Apr06","J"
"64721","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,,
"64721","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,4.00,4.00,"090",,,
"64722","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64722","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64722","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64726","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64726","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64726","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64727","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64732","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64732","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64732","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64734","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64734","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64734","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64736","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64736","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64736","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64738","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64738","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64738","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64740","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64740","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.00,"090",,"Jan04","21"
"64740","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Jan04","21"
"64740","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.00,"090",,"Jan04","21"
"64740","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64740","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64740","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Jan04","21"
"64740","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"090",,"Jan04","21"
"64740","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Jan04","21"
"64740","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64740","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Jan04","21"
"64742","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64742","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64742","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64744","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64744","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64744","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64746","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64746","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64746","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64752","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64752","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64752","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64755","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64755","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64755","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64760","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64760","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64761","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64761","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64763","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64763","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64763","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64766","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64766","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64766","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64771","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64771","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64771","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64772","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64772","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64772","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64774","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64774","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64774","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64776","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64776","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64776","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64778","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64782","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64782","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64782","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64783","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64784","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64784","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64784","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64786","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64786","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64786","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64787","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64788","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64788","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64788","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64790","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64790","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64790","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64792","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64792","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64792","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64795","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"64802","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64802","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64802","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64804","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64804","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64804","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64809","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64809","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64809","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64818","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64818","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64818","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64820","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Apr06","J"
"64820","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64820","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64821","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"64821","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"64822","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"64822","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"64823","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,,
"64823","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,,
"64831","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"Feb08","ss"
"64831","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64831","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64832","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64834","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.00,"090",,"Apr06","J"
"64834","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64834","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64835","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64835","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64835","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64836","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64836","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64836","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64837","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64840","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64840","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64840","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64856","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64856","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64856","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64857","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64857","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64857","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64858","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64858","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64858","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64859","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64861","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64861","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64861","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64862","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64862","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64862","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64864","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64864","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.00,"090",,"Jan04","21"
"64864","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Jan04","21"
"64864","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.00,"090",,"Jan04","21"
"64864","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64864","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64864","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Jan04","21"
"64864","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64864","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Jan04","21"
"64865","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Jan04","21"
"64865","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64865","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.50,"090",,"Jan04","21"
"64865","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.50,"090",,"Jan04","21"
"64865","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.50,"090",,"Jan04","21"
"64865","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64865","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64865","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.50,"090",,"Jan04","21"
"64865","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Jan04","21"
"64865","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,10.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"64865","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,10.00,"090",,"Jan04","21"
"64865","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,2.50,"090",,"Jan04","21"
"64865","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,12.50,"090",,"Jan04","21"
"64865","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.50,"090",,"Jan04","21"
"64865","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,25.00,"090",,"Jan04","21"
"64865","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,12.50,"090",,"Jan04","21"
"64865","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"64865","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,2.50,"090",,"Jan04","21"
"64866","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Jan04","21"
"64866","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64866","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.50,"090",,"Jan04","21"
"64866","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.50,"090",,"Jan04","21"
"64866","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.50,"090",,"Jan04","21"
"64866","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64866","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64866","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.50,"090",,"Jan04","21"
"64866","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Jan04","21"
"64866","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,10.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"64866","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,10.00,"090",,"Jan04","21"
"64866","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,2.50,"090",,"Jan04","21"
"64866","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,12.50,"090",,"Jan04","21"
"64866","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.50,"090",,"Jan04","21"
"64866","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,25.00,"090",,"Jan04","21"
"64866","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,12.50,"090",,"Jan04","21"
"64866","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"64866","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,2.50,"090",,"Jan04","21"
"64868","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,1.00,"090",,"Jan04","21"
"64868","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64868","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.00,"090",,"Jan04","21"
"64868","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,2.00,"090",,"Jan04","21"
"64868","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.00,"090",,"Jan04","21"
"64868","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64868","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64868","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Jan04","21"
"64868","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Jan04","21"
"64868","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,8.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"64868","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,8.00,"090",,"Jan04","21"
"64868","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,2.00,"090",,"Jan04","21"
"64868","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Jan04","21"
"64868","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Jan04","21"
"64868","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Jan04","21"
"64868","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,10.00,"090",,"Jan04","21"
"64868","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"64868","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,2.00,"090",,"Jan04","21"
"64870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64870","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64870","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64872","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64874","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64876","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64885","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Jan04","21"
"64885","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"64885","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Jan04","21"
"64885","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"64885","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64885","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64885","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"64885","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64885","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"64886","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"64886","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"64886","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,3.00,"090",,"Jan04","21"
"64886","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"64886","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,2.00,"090",,"Jan04","21"
"64886","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,2.00,"090",,"Jan04","21"
"64886","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"64886","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"64886","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"64890","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64890","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64890","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64891","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64891","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64891","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64892","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64892","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64892","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64893","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64893","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64893","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64895","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64895","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64895","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64896","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64896","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64896","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64897","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64897","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64897","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64898","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64898","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64898","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64901","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64902","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"64905","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64905","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64905","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64907","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"64907","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"64907","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,,2.00,"090",,,
"64910","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"64910","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT07",
"64911","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090",,"CPT07",
"64911","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"CPT07",
"64999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"65091","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"65091","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65091","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65091","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65091","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65091","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65091","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65091","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65091","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65091","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65093","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090","ok","Apr06","J"
"65093","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65093","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65093","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65093","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65093","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65093","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65093","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65093","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65093","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65093","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65101","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"65101","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65101","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65101","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65101","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65101","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65101","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65101","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65101","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65101","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65101","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65101","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,,1.00,"090",,,
"65103","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"65103","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65103","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65103","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65103","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65103","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65103","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65103","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65103","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65103","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65103","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65105","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.50,"090","ok","Apr06","J"
"65105","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65105","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65105","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65105","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65105","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65105","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65105","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65105","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65105","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65105","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65110","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,5.50,"090","ok","Apr06","J"
"65110","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65110","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65110","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65110","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65110","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65110","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65110","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65110","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65110","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65110","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65112","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,6.50,"090","ok","Apr06","J"
"65112","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65112","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65112","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65112","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65112","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65112","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65112","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65112","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65112","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65112","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65114","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,6.50,"090","ok","Apr06","J"
"65114","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65114","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"65114","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"65114","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"65114","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"65114","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65114","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65114","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65114","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"65114","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"65125","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090","ok","Mar03","10"
"65125","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65125","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"65125","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"090",,"Mar03","10"
"65125","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Accessory, Procedure","SD107","peg, for prosthetic ocular implant","item",58.33,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"090",,"Mar03","10"
"65125","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"65125","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"65125","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"65125","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"65125","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"65130","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"65130","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"65130","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65130","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65130","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65130","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"65130","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"65135","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"65135","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"65135","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65135","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65135","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65135","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"65135","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"65140","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.50,"090","ok","Apr06","J"
"65140","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"65140","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65140","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65140","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65140","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"65140","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"65150","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090","ok","Apr06","J"
"65150","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"65150","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65150","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65150","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65150","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"65150","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"65155","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.50,"090","ok","Apr06","J"
"65155","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"65155","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65155","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65155","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65155","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"65155","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"65175","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090","ok","Apr06","J"
"65175","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"65175","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"65175","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"65175","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65175","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"65175","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"65205","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65210","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65220","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65222","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65235","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,"Apr06","J"
"65235","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"65235","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"65235","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"65235","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"65235","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.60,"090",,,
"65235","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65235","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"65235","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,45.00,"090",,,
"65260","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"65260","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,,1.00,"090",,,
"65260","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,2.00,"090",,,
"65260","RUC","Wound Care, Dressings","SG047","eye shield (fox) and garter","item",0.68,,1.00,"090",,,
"65260","RUC","Wound Care, Dressings","SG048","eye shield, fox","item",0.60,,1.00,"090",,,
"65260","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"65260","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"65260","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,420.00,"090",,,
"65260","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.60,"090",,,
"65260","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65260","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65260","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65260","RUC","Pharmacy, NonRx","SJ015","contact lens soln (12oz uou)","item",4.19,,1.00,"090",,,
"65260","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"65260","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,45.00,"090",,,
"65260","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,,1.00,"090",,,
"65260","RUC","Lab","SL020","bleach","ml",1.0e-03,,10.00,"090",,,
"65265","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.50,"090","ok","Apr06","J"
"65265","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,,1.00,"090",,,
"65265","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,2.00,"090",,,
"65265","RUC","Wound Care, Dressings","SG047","eye shield (fox) and garter","item",0.68,,1.00,"090",,,
"65265","RUC","Wound Care, Dressings","SG048","eye shield, fox","item",0.60,,1.00,"090",,,
"65265","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"65265","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"65265","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,432.00,"090",,,
"65265","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.70,"090",,,
"65265","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65265","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65265","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65265","RUC","Pharmacy, NonRx","SJ015","contact lens soln (12oz uou)","item",4.19,,1.00,"090",,,
"65265","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"65265","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,50.00,"090",,,
"65265","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,,1.00,"090",,,
"65265","RUC","Lab","SL020","bleach","ml",1.0e-03,,10.00,"090",,,
"65270","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"65270","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,2.00,1.00,"010","ok","Mar03","10"
"65270","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"010",,"Mar03","10"
"65270","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar03","10"
"65270","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar03","10"
"65270","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"010",,"Mar03","10"
"65270","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"010",,"Mar03","10"
"65270","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"65272","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.50,1.50,"090",,"Mar03","10"
"65272","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.50,2.50,"090","ok","Mar03","10"
"65272","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65272","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65272","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65272","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65272","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65272","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,0.50,0.00,"090",,"Mar03","10"
"65272","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65273","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,2.50,"090","ok","Mar03","10"
"65275","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65275","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok","Mar03","10"
"65275","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65275","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65275","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65275","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65275","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65275","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"65275","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65275","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65280","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Mar03","10"
"65285","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090","ok","Feb08","ss"
"65286","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok","Mar03","10"
"65286","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65286","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65286","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65286","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65286","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65286","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"65286","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"090",,"Mar03","10"
"65286","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65286","RUC","Pharmacy, Rx","SH076","adhesive, cyanoacrylate (2ml uou).doc","item",28.98,1.00,0.00,"090",,"Mar03","10"
"65286","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65286","RUC","Pharmacy, Rx","SH082","hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)","item",61.00,1.00,0.00,"090",,"Mar03","10"
"65290","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Mar03","10"
"65400","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,5.50,4.50,"090",,"Mar03","10"
"65400","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65400","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65400","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65400","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65400","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65400","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"090",,"Mar03","10"
"65400","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65410","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65410","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"000",,"Mar03","10"
"65410","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"000",,"Mar03","10"
"65410","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"000",,"Mar03","10"
"65410","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"000",,"Mar03","10"
"65420","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,5.00,4.00,"090",,"Mar03","10"
"65420","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65420","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65420","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65420","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65420","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"65420","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65420","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"090",,"Mar03","10"
"65420","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,5.00,4.00,"090",,"Mar03","10"
"65426","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65426","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65426","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65426","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65426","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,2.00,0.00,"090",,"Mar03","10"
"65426","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"65426","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65426","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.50,0.00,"090",,"Mar03","10"
"65426","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65430","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65430","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"000",,"Mar03","10"
"65435","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"65435","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"000",,"Mar03","10"
"65436","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.00,2.00,"090",,"Mar03","10"
"65436","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"65450","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.50,2.50,"090",,"Mar03","10"
"65450","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65600","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.50,,"090","ok","Apr06","J"
"65600","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,,"090",,,
"65600","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,,"090",,,
"65600","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"090",,,
"65600","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"090",,,
"65600","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,0.40,,"090",,,
"65600","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,40.00,,"090",,,
"65600","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,2.00,,"090",,,
"65600","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"090",,,
"65600","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,60.00,,"090",,,
"65600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,70.00,,"090",,,
"65710","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,6.00,"090",,"Apr06","J"
"65710","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65710","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090",,,
"65730","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok",,
"65730","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65730","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,5.00,"090",,,
"65750","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok","Apr06","J"
"65750","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65750","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090",,,
"65755","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok","Apr06","J"
"65755","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65755","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090",,,
"65756","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.00,"090",,"CPT09","21"
"65756","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090",,"CPT09","21"
"65757","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT09","21"
"65760","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"65765","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"65767","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"65770","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,6.50,"090",,"Apr06","J"
"65770","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65770","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65770","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65770","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65770","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,35.00,"090",,,
"65771","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","10"
"65772","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.50,2.50,"090",,"Mar03","10"
"65772","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65772","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65772","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65772","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65772","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65772","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65772","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"65772","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"65772","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65772","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"090",,"Mar03","10"
"65772","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65775","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090",,"Apr06","J"
"65775","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65775","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,21.00,"090",,,
"65778","RUC","Accessory, Procedure","SD248","human amniotic membrane allograft mounted on a non-absorbable self-retaining ring","item",895.00,1.00,,"010",,"CPT11","13"
"65779","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"010",,"CPT11","13"
"65779","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.00,2.00,"010",,"CPT11","13"
"65779","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,,"010",,"CPT11","13"
"65779","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"010",,"CPT11","13"
"65779","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"010",,"CPT11","13"
"65779","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"010",,"CPT11","13"
"65779","RUC","Accessory, Procedure","SD247","human amniotic membrane allograft","item",595.00,1.00,,"010",,"CPT11","13"
"65779","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,,"010",,"CPT11","13"
"65779","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,1.00,,"010",,"CPT11","13"
"65779","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,,"010",,"CPT11","13"
"65779","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"010",,"CPT11","13"
"65779","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,,"010",,"CPT11","13"
"65780","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,10.00,"090",,,
"65780","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"65781","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,10.00,"090",,,
"65781","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"65782","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,9.00,"090",,,
"65782","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090",,,
"65800","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,,"000",,"CPT13","May 20"
"65800","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT13","May 20"
"65800","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT13","May 20"
"65800","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,"CPT13","May 20"
"65800","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,"CPT13","May 20"
"65810","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Mar03","10"
"65815","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok","Apr06","J"
"65815","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"65815","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"65815","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"65815","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"65815","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"090",,"Mar03","10"
"65815","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"090",,"Mar03","10"
"65815","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"65815","RUC","Pharmacy, Rx","SH082","hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)","item",61.00,1.00,0.00,"090",,"Mar03","10"
"65820","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,5.00,"090",,"Apr06","J"
"65820","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,8.00,"090",,,
"65820","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"65820","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"65820","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"65820","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.80,"090",,,
"65820","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,80.00,"090",,,
"65820","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,4.00,"090",,,
"65820","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"65820","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"65820","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"65850","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"65850","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65850","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65850","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65850","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,24.00,"090",,,
"65855","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"65855","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,1.00,0.00,"010",,"Mar03","10"
"65855","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,0.00,"010",,"Mar03","10"
"65860","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"090",,"Mar03","10"
"65860","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,1.00,0.00,"090",,"Mar03","10"
"65860","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,0.00,"090",,"Mar03","10"
"65865","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Apr06","J"
"65865","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65865","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65865","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65865","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"65870","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Apr06","J"
"65870","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65870","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65870","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65870","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"65875","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"65875","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65875","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65875","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65875","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"65880","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"65880","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65880","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65880","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65880","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"65900","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"65900","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65900","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"65900","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,40.00,"090",,,
"65900","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,2.00,"090",,,
"65900","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090",,,
"65920","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"65920","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65920","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65920","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65920","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"65930","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"65930","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"65930","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"65930","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"65930","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,24.00,"090",,,
"66020","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","E"
"66020","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","E"
"66020","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","E"
"66020","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"010",,"Mar04","E"
"66020","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","E"
"66020","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","E"
"66020","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,"Mar04","E"
"66020","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"010",,"Mar04","E"
"66020","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,0.00,"010",,"Mar04","E"
"66030","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","E"
"66030","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","E"
"66030","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","E"
"66030","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"010",,"Mar04","E"
"66030","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","E"
"66030","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","E"
"66030","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,"Mar04","E"
"66030","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"010",,"Mar04","E"
"66030","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,0.00,"010",,"Mar04","E"
"66130","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok","Mar03","10"
"66130","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"66130","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"66130","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"66130","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"66130","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"66130","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"66130","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"090",,"Mar03","10"
"66130","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"66150","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090","ok",,
"66150","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66150","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66150","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66155","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090","ok",,
"66155","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66155","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66155","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66160","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090","ok",,
"66160","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66160","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66160","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66165","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090","ok",,
"66165","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66165","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66165","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66170","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,9.00,"090","ok",,
"66170","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66170","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66170","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66172","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,12.00,"090","ok",,
"66172","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,,1.00,"090",,,
"66172","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66172","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"66172","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66172","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66174","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,0.00,6.00,"090",,"CPT11","14"
"66175","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,0.00,6.00,"090",,"CPT11","14"
"66180","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.50,"090","ok","Apr06","J"
"66180","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,24.00,"090",,,
"66185","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"66185","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66185","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66185","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66185","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,24.00,"090",,,
"66220","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"66220","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,,1.00,"090",,,
"66220","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,2.00,"090",,,
"66220","RUC","Wound Care, Dressings","SG047","eye shield (fox) and garter","item",0.68,,1.00,"090",,,
"66220","RUC","Wound Care, Dressings","SG048","eye shield, fox","item",0.60,,1.00,"090",,,
"66220","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"66220","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"66220","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,420.00,"090",,,
"66220","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.60,"090",,,
"66220","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66220","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66220","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66220","RUC","Pharmacy, NonRx","SJ015","contact lens soln (12oz uou)","item",4.19,,1.00,"090",,,
"66220","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"66220","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,45.00,"090",,,
"66220","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,,1.00,"090",,,
"66220","RUC","Lab","SL020","bleach","ml",1.0e-03,,10.00,"090",,,
"66225","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"66225","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"66225","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,24.00,"090",,,
"66250","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok","Mar03","10"
"66250","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"66250","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"66250","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"66250","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"66250","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"090",,"Mar03","10"
"66250","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,0.00,"090",,"Mar03","10"
"66250","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"66250","RUC","Pharmacy, Rx","SH082","hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)","item",61.00,1.00,0.00,"090",,"Mar03","10"
"66500","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,2.50,"090","ok","Apr06","J"
"66500","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,4.00,"090",,,
"66500","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,2.00,"090",,,
"66500","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,2.00,"090",,,
"66500","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"66500","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"66500","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,40.00,"090",,,
"66500","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,2.00,"090",,,
"66500","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66500","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"66500","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,70.00,"090",,,
"66505","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"66505","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,4.00,"090",,,
"66505","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,2.00,"090",,,
"66505","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,2.00,"090",,,
"66505","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,24.00,"090",,,
"66505","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"66505","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,40.00,"090",,,
"66505","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,2.00,"090",,,
"66505","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66505","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,60.00,"090",,,
"66505","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,70.00,"090",,,
"66600","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"66600","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,8.00,"090",,,
"66600","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"66600","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"66600","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"66600","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.80,"090",,,
"66600","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,80.00,"090",,,
"66600","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,4.00,"090",,,
"66600","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66600","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"66600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"66605","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"66605","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66605","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.20,"090",,,
"66605","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,40.00,"090",,,
"66605","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,2.00,"090",,,
"66605","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090",,,
"66625","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Mar03","10"
"66630","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Mar03","10"
"66635","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Mar03","10"
"66680","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"66680","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"66680","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"66680","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"66680","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"66682","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Apr06","J"
"66682","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,8.00,"090",,,
"66682","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"66682","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"66682","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"66682","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.80,"090",,,
"66682","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,80.00,"090",,,
"66682","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,4.00,"090",,,
"66682","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66682","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"66682","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"66700","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090","ok",,
"66700","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,,"090",,,
"66700","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"090",,,
"66700","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,3.00,"090",,,
"66710","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090","ok",,
"66710","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,,"090",,,
"66710","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"090",,,
"66710","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,3.00,"090",,,
"66711","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok",,
"66720","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090",,,
"66720","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,,"090",,,
"66720","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"090",,,
"66720","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,3.00,"090",,,
"66740","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090","ok",,
"66740","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,,"090",,,
"66740","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"090",,,
"66740","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,3.00,"090",,,
"66761","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"010",,"CPT11","34"
"66761","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,1.00,0.00,"010",,"CPT11","34"
"66761","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,0.00,"010",,"CPT11","34"
"66761","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,1.00,0.00,"010",,"CPT11","34"
"66761","RUC","Pharmacy, Rx","SH097","Pilocarpine 2%","ml",2.85,1.00,0.00,"010",,"CPT11","34"
"66762","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090",,,
"66762","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,,"090",,,
"66762","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,3.00,"090",,,
"66770","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090",,,
"66770","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,,"090",,,
"66770","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,,"090",,,
"66770","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,3.00,"090",,,
"66820","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,2.50,"090","ok","Apr06","J"
"66820","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,8.00,"090",,,
"66820","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"66820","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"66820","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"66820","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.80,"090",,,
"66820","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,4.00,"090",,,
"66820","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,80.00,"090",,,
"66820","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66820","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"66820","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"66821","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.00,2.00,"090","ok",,
"66821","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,1.00,"090",,,
"66821","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"090",,,
"66825","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"66825","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,8.00,"090",,,
"66825","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,4.00,"090",,,
"66825","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"66825","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"66825","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.80,"090",,,
"66825","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,4.00,"090",,,
"66825","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,80.00,"090",,,
"66825","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"66825","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"66825","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"66830","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","66984","ok",
"66840","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","66984","ok",
"66850","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","66984","ok",
"66852","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","66984","ok",
"66920","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","66984","ok",
"66930","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"66930","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"66940","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"66940","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,15.00,"090",,,
"66982","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,2.00,"090",,"CPT13","Mar 6"
"66982","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,2.00,"090",,"CPT13","Mar 6"
"66983","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","66984","ok",
"66984","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,2.00,"090",,"CPT13","Mar 6"
"66984","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,2.00,"090",,"CPT13","Mar 6"
"66985","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","66984","ok",
"66986","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","66984","ok",
"66990","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"66999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"67005","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67010","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67015","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"67015","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,2.00,"090",,,
"67015","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67015","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"67015","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"67015","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.60,"090",,,
"67015","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"67015","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"67015","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67015","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"67015","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,45.00,"090",,,
"67025","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,5.00,4.00,"090","ok","Mar03","10"
"67025","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67025","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67025","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67025","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67025","RUC","Gown, Drape","SB045","drape, sterile, incise, ophthalmic","item",4.90,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"090",,"Mar03","10"
"67025","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,0.00,"090",,"Mar03","10"
"67025","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Accessory, Procedure","SD080","gas, intraocular C3F8 (ISPAN) (per dose)","item",3.32,10.00,0.00,"090",,"Mar03","10"
"67025","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"090",,"Mar03","10"
"67025","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67027","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Mar03","10"
"67028","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT11","58"
"67028","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,"CPT11","58"
"67028","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT11","58"
"67028","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,"CPT11","58"
"67028","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,,"000",,"CPT11","58"
"67028","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,,"000",,"CPT11","58"
"67028","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,"CPT11","58"
"67030","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67030","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,2.00,"090",,,
"67030","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67030","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"67030","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"67030","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.50,"090",,,
"67030","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"67030","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"67030","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67030","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"67030","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,45.00,"090",,,
"67031","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,3.50,2.50,"090","ok","Mar03","10"
"67031","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,1.00,0.00,"090",,"Mar03","10"
"67031","RUC","Pharmacy, Rx","SH044","Iopidine 1% ophth soln (0.1ml uou)","item",11.01,1.00,0.00,"090",,"Mar03","10"
"67036","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok",,
"67039","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090","ok",,
"67039","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090","67038",,
"67040","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.50,"090","67038","ok",
"67040","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,27.00,"090","67038",,
"67041","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090",,"CPT08","G"
"67042","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090",,"CPT08","G"
"67043","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090",,"CPT08","G"
"67101","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,5.00,4.00,"090","ok","Mar03","10"
"67101","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67101","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67101","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67101","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67101","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67101","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67101","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"090",,"Mar03","10"
"67101","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"Mar03","10"
"67101","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"090",,"Mar03","10"
"67101","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67105","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok","Mar03","10"
"67105","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67105","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"090",,"Mar03","10"
"67105","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,0.10,0.00,"090",,"Mar03","10"
"67105","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"Mar03","10"
"67107","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Mar03","10"
"67108","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Mar03","10"
"67110","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67110","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,5.50,4.50,"090","ok","Mar03","10"
"67110","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67110","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67110","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Mar03","10"
"67110","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67110","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67110","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67110","RUC","Gown, Drape","SB045","drape, sterile, incise, ophthalmic","item",4.90,1.00,0.00,"090",,"Mar03","10"
"67110","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67110","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,3.00,0.00,"090",,"Mar03","10"
"67110","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,3.00,0.00,"090",,"Mar03","10"
"67110","RUC","Accessory, Procedure","SD080","gas, intraocular C3F8 (ISPAN) (per dose)","item",3.32,5.00,0.00,"090",,"Mar03","10"
"67110","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"Mar03","10"
"67110","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"090",,"Mar03","10"
"67110","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67112","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok","Mar03","10"
"67113","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,7.00,"090",,"CPT08","G"
"67115","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.50,"090","ok","Mar03","10"
"67120","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.50,3.50,"090","ok","Mar03","10"
"67120","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67120","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67120","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67120","RUC","Gown, Drape","SB045","drape, sterile, incise, ophthalmic","item",4.90,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Hypodermic, IV","SC081","needle, retrobulbar (Atkinson)","item",1.82,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Cutters, Closures, Cautery","SF052","suture, vicryl, 7-0","item",21.77,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"Mar03","10"
"67120","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"090",,"Mar03","10"
"67120","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67121","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Mar03","10"
"67141","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ol","Mar03","10"
"67141","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67141","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67141","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67141","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67141","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67141","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"090",,"Mar03","10"
"67141","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67141","RUC","Hypodermic, IV","SC081","needle, retrobulbar (Atkinson)","item",1.82,1.00,0.00,"090",,"Mar03","10"
"67141","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"Mar03","10"
"67141","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,0.00,"090",,"Mar03","10"
"67145","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok","Mar03","10"
"67145","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67145","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"090",,"Mar03","10"
"67145","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,0.10,0.00,"090",,"Mar03","10"
"67145","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"090",,"Mar03","10"
"67208","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok",,
"67208","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,,
"67208","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,1.00,"090",,,
"67208","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"090",,,
"67208","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,,
"67208","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,24.00,"090",,,
"67208","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,,"090",,,
"67210","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok","CPT12","MD Time"
"67210","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,,"090",,,
"67218","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67218","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,,1.00,"090",,,
"67218","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,2.00,"090",,,
"67218","RUC","Wound Care, Dressings","SG047","eye shield (fox) and garter","item",0.68,,1.00,"090",,,
"67218","RUC","Wound Care, Dressings","SG048","eye shield, fox","item",0.60,,1.00,"090",,,
"67218","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67218","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,1.00,"090",,,
"67218","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,420.00,"090",,,
"67218","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.60,"090",,,
"67218","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"67218","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,1.00,"090",,,
"67218","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67218","RUC","Pharmacy, NonRx","SJ015","contact lens soln (12oz uou)","item",4.19,,1.00,"090",,,
"67218","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,,
"67218","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,45.00,"090",,,
"67218","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,,1.00,"090",,,
"67218","RUC","Lab","SL020","bleach","ml",1.0e-03,,10.00,"090",,,
"67220","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok","CPT12","MD Time"
"67220","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,,"090",,,
"67221","RUC","Kit, Pack, Tray","SA049","pack, ocular photodynamic therapy","pack",20.67,1.00,0.00,"000",,"Feb05",
"67221","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"000","ok","Feb05",
"67221","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,1.00,0.00,"000",,"Feb05",
"67225","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","G0184","Feb05",
"67227","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090","ok",,
"67227","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"090",,,
"67227","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,1.00,"090",,,
"67227","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"090",,,
"67227","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"090",,,
"67227","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,24.00,"090",,,
"67227","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,20.00,,"090",,,
"67228","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,4.00,3.00,"090",,"CPT08","H"
"67228","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,0.00,"090",,"CPT08","H"
"67228","RUC","Hypodermic, IV","SC081","needle, retrobulbar (Atkinson)","item",1.82,3.00,0.00,"090",,"CPT08","H"
"67228","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,3.00,0.00,"090",,"CPT08","H"
"67228","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"CPT08","H"
"67229","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090",,"CPT08","H"
"67250","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"67250","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"67250","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67250","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,6.00,"090",,,
"67250","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67250","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"67250","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"67255","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67255","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"67255","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67255","RUC","Pharmacy, Rx","SH057","prednisolone acet 1% oph soln (5ml uou)","item",6.67,,6.00,"090",,,
"67255","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67255","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"67255","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"67299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"67311","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090",,,
"67311","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"67311","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67311","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"67311","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"67311","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67311","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,5.00,"090",,,
"67312","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090",,"Apr06","J"
"67312","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"67312","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67312","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"67312","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"67312","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67312","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"67314","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Apr06","J"
"67314","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"67314","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67314","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"67314","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"67314","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67314","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"67316","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"67316","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"67316","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67316","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"67316","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"67316","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67316","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"67318","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Apr06","J"
"67318","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"67318","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67318","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"67318","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"67318","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67318","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"67320","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"67331","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"67332","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"67334","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"67335","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"67340","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"67343","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090",,"Apr06","J"
"67343","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,1.00,"090",,,
"67343","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,1.00,"090",,,
"67343","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,36.00,"090",,,
"67343","RUC","Pharmacy, Rx","SH011","atropine 1% ophth","ml",0.21,,0.40,"090",,,
"67343","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67343","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,40.00,"090",,,
"67345","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","E"
"67345","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","E"
"67345","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"010",,"Mar04","E"
"67345","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"010",,"Mar04","E"
"67345","RUC","Accessory, Procedure","SD051","electrode needle, monopolar EMG w-lead","item",3.03,1.00,0.00,"010",,"Mar04","E"
"67345","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar04","E"
"67346","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"67399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"67400","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.50,"090","ok","Apr06","J"
"67400","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67400","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"67400","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"67400","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"67400","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"67400","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"67400","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67400","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67400","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"67400","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"67405","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67405","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67405","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"67405","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"67405","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"67405","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"67405","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"67405","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67405","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67405","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"67405","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"67412","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,2.50,"090","ok","Apr06","J"
"67412","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67412","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67412","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67412","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67412","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67412","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67412","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67412","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67412","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67412","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67413","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"67413","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67413","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,12.00,"090",,,
"67413","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,6.00,"090",,,
"67413","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"67413","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"67413","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"67413","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67413","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67413","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"67413","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"67414","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,3.00,"090","ok","Apr06","J"
"67414","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67414","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67414","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67414","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67414","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67414","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67414","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67414","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67414","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67414","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67415","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"67420","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"67420","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67420","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67420","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67420","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67420","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67420","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67420","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67420","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67420","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67420","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67430","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok","Apr06","J"
"67430","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67430","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67430","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67430","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67430","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67430","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67430","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67430","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67430","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67430","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67440","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.50,"090","ok","Apr06","J"
"67440","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67440","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67440","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67440","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67440","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67440","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67440","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67440","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67440","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67440","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67445","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67445","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67445","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67445","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67445","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67445","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67445","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67445","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67445","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67445","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67445","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67450","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok","Apr06","J"
"67450","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67450","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67450","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67450","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67450","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67450","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67450","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67450","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67450","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67450","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67500","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"67500","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"Mar03","10"
"67500","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar03","10"
"67500","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"000",,"Mar03","10"
"67505","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"67505","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"Mar03","10"
"67505","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar03","10"
"67505","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"000",,"Mar03","10"
"67515","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"67515","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"Mar03","10"
"67515","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar03","10"
"67515","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"000",,"Mar03","10"
"67550","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"67550","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"67550","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"67550","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67550","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67550","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"67550","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"67560","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"67560","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,14.00,"090",,,
"67560","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,6.00,"090",,,
"67560","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,120.00,"090",,,
"67560","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67560","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,200.00,"090",,,
"67560","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,226.00,"090",,,
"67570","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,4.00,"090","ok","Apr06","J"
"67570","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"67570","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,,16.00,"090",,,
"67570","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,,8.00,"090",,,
"67570","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,8.00,"090",,,
"67570","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,96.00,"090",,,
"67570","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,8.00,"090",,,
"67570","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,160.00,"090",,,
"67570","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"67570","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,240.00,"090",,,
"67570","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,260.00,"090",,,
"67599","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"67700","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"67700","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"67700","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar04","D"
"67700","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","D"
"67700","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar04","D"
"67700","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar04","D"
"67700","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"67710","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"67710","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar04","D"
"67710","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","D"
"67710","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar04","D"
"67710","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar04","D"
"67710","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","D"
"67715","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar04","D"
"67715","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar04","D"
"67715","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","D"
"67715","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar04","D"
"67715","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar04","D"
"67715","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar04","D"
"67800","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.50,0.50,"010",,"Mar03","10"
"67800","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"67800","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"67800","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"67800","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","10"
"67800","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"010",,"Mar03","10"
"67800","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,3.00,0.00,"010",,"Mar03","10"
"67800","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"010",,"Mar03","10"
"67801","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.50,0.50,"010",,"Mar03","10"
"67801","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"67801","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"67801","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"67801","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","10"
"67801","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"010",,"Mar03","10"
"67801","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,0.00,"010",,"Mar03","10"
"67801","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"010",,"Mar03","10"
"67805","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"67805","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"67805","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"67805","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"67805","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","10"
"67805","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"010",,"Mar03","10"
"67805","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,5.00,0.00,"010",,"Mar03","10"
"67805","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,7.00,0.00,"010",,"Mar03","10"
"67808","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.50,2.50,"090",,"Mar03","10"
"67810","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","May 21"
"67810","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,"CPT13","May 21"
"67810","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,20.00,,"000",,"CPT13","May 21"
"67810","RUC","Wound Care, Dressings","SG033","dressing, 12-7mm (Gelfoam)","item",10.15,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,,"000",,"CPT13","May 21"
"67810","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, Rx","SH058","proparacaine 0.5% ophth (Ophthaine, Alcaine)","ml",0.59,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,,"000",,"CPT13","May 21"
"67810","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000",,"CPT13","May 21"
"67810","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","May 21"
"67820","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"67825","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"67825","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar03","10"
"67825","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","10"
"67825","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,4.00,0.00,"010",,"Mar03","10"
"67825","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"67825","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"67830","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","E"
"67830","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","E"
"67830","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,2.00,0.00,"010",,"Mar04","E"
"67830","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar04","E"
"67830","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","E"
"67830","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar04","E"
"67830","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar04","E"
"67830","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar04","E"
"67835","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.00,"090","ok","Apr06","J"
"67835","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,12.00,"090",,,
"67840","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","E"
"67840","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","E"
"67840","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar04","E"
"67840","RUC","Wound Care, Dressings","SG048","eye shield, fox","item",0.60,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","E"
"67840","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar04","E"
"67840","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar04","E"
"67840","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Mar04","E"
"67850","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar04","E"
"67850","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar04","E"
"67850","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Mar04","E"
"67850","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar04","E"
"67850","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar04","E"
"67850","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar04","E"
"67875","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Mar03","10"
"67875","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Mar03","10"
"67875","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"000",,"Mar03","10"
"67875","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Mar03","10"
"67875","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"000",,"Mar03","10"
"67875","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"000",,"Mar03","10"
"67875","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,"Mar03","10"
"67875","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"Mar03","10"
"67880","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.50,2.50,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67880","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67880","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"090",,"Mar03","10"
"67880","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67880","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67880","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67880","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67880","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67882","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67882","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"090",,"Mar03","10"
"67882","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67882","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67882","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67882","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67882","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67900","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67900","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67900","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67900","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67900","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67900","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67900","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67901","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"RUC05",
"67901","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,5.00,4.00,"090",,"RUC05",
"67901","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"90","ok","Apr06","J"
"67901","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"RUC05",
"67901","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"RUC05",
"67901","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"RUC05",
"67901","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"RUC05",
"67901","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,2.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"RUC05",
"67901","RUC","Cutters, Closures, Cautery","SF052","suture, vicryl, 7-0","item",21.77,1.00,0.00,"090",,"RUC05",
"67901","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,20.00,0.00,"090",,"RUC05",
"67901","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"090",,"RUC05",
"67901","RUC","Wound Care, Dressings","SG048","eye shield, fox","item",0.60,1.00,0.00,"090",,"RUC05",
"67901","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"RUC05",
"67901","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, Rx","SH022","bupivacaine 0.5% inj (Marcaine)","ml",0.10,5.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,5.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,0.00,"090",,"RUC05",
"67901","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"RUC05",
"67901","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"RUC05",
"67902","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"RUC05",
"67902","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.00,"90","ok","Apr06","J"
"67902","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090",,"RUC05",
"67903","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67903","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67903","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67903","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67903","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67903","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67903","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67903","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,5.00,4.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67904","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67904","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Mar03","10"
"67904","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67904","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67904","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67904","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67904","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67904","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090","ok","Mar03","10"
"67906","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67906","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67906","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67906","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67906","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67906","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67906","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67906","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67908","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090","ok","Apr06","J"
"67908","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,1.00,1.00,"090",,,
"67908","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,22.00,0.00,"090",,,
"67908","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,0.00,"090",,,
"67908","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"090",,,
"67908","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,3.00,0.00,"090",,,
"67908","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,60.00,0.00,"090",,,
"67908","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,2.00,0.00,"090",,,
"67908","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,90.00,60.00,"090",,,
"67908","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,100.00,10.00,"090",,,
"67909","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67909","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67909","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67909","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67909","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67909","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67909","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67909","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67911","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,3.50,"090",,"Mar03","10"
"67912","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,,"090",,,
"67912","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,,
"67912","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,,
"67912","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,,
"67912","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"090",,,
"67912","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,,
"67912","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,,
"67912","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,,
"67912","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,,
"67912","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090",,,
"67912","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,,
"67912","RUC","Accessory, Procedure","SD072","eyelid weight implant, gold","item",217.50,1.00,0.00,"090",,,
"67912","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"090",,,
"67912","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,,
"67912","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,,
"67912","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,,
"67912","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,,
"67912","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,10.00,0.00,"090",,,
"67912","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,,
"67912","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"090",,,
"67914","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.50,1.50,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67914","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67914","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Mar03","10"
"67914","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67914","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67914","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"090",,"Mar03","10"
"67914","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67914","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67914","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.50,1.50,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67915","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67915","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67915","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67915","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"090",,"Mar03","10"
"67915","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67915","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67915","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67916","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67916","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67916","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67916","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67916","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67916","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67916","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67917","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67917","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67917","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67917","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67917","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67917","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67917","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.50,1.50,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67921","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67921","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Mar03","10"
"67921","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67921","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67921","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"090",,"Mar03","10"
"67921","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67921","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67921","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.50,1.50,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67922","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67922","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67922","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67922","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"090",,"Mar03","10"
"67922","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67922","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67922","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67923","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67923","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67923","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67923","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67923","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67923","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67923","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67924","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67924","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,3.00,0.00,"090",,"Mar03","10"
"67924","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67924","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67924","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67924","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67924","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67924","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67930","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","10"
"67930","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","10"
"67930","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar03","10"
"67930","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","10"
"67930","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"010",,"Mar03","10"
"67930","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"67930","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"67930","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar03","10"
"67935","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67935","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67935","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"090",,"Mar03","10"
"67935","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67935","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67935","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67935","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67935","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67938","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","10"
"67938","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Mar03","10"
"67938","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"010",,"Mar03","10"
"67938","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","10"
"67938","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar03","10"
"67938","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"67938","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"67938","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Mar03","10"
"67950","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67950","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67950","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67950","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67950","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67950","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67950","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67950","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67961","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67961","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67961","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67961","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67961","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67961","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67961","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,5.00,4.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"67966","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"090",,"Mar03","10"
"67966","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,4.00,0.00,"090",,"Mar03","10"
"67966","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"090",,"Mar03","10"
"67966","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"67966","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"090",,"Mar03","10"
"67966","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"090",,"Mar03","10"
"67966","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Mar03","10"
"67971","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.50,"090",,"Mar03","10"
"67973","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,5.50,"090",,"Mar03","10"
"67974","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,5.50,"090",,"Mar03","10"
"67975","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.50,"090",,"Mar03","10"
"67999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"68020","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68020","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"68040","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"000",,"Mar03","10"
"68100","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"000",,"Mar03","10"
"68110","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68110","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar03","10"
"68110","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68115","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Mar03","10"
"68115","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","10"
"68115","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"010",,"Mar03","10"
"68115","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Mar03","10"
"68115","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,1.00,0.00,"010",,"Mar03","10"
"68115","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68130","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.50,3.50,"090",,"Mar03","10"
"68130","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"68130","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"68130","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"68130","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"68130","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"68130","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"68130","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"090",,"Mar03","10"
"68130","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"68135","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68200","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"68200","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"Mar03","10"
"68200","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,0.00,"000",,"Mar03","10"
"68200","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,3.00,0.00,"000",,"Mar03","10"
"68320","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,5.00,4.00,"090",,"Mar03","10"
"68320","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"68320","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"68320","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"090",,"Mar03","10"
"68320","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"68325","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68326","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68328","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68330","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,3.00,"090",,"Mar03","10"
"68330","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"68330","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"68330","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"68330","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"68330","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"68330","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,20.00,0.00,"090",,"Mar03","10"
"68330","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,2.00,0.00,"090",,"Mar03","10"
"68330","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"090",,"Mar03","10"
"68330","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"68335","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68340","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.50,2.50,"090",,"Mar03","10"
"68340","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"68340","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"68340","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"68340","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"68340","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Accessory, Procedure","SD158","conformer, sterile, acrylic","item",20.00,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"68340","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"090",,"Mar03","10"
"68340","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.50,2.50,"090",,"Mar03","10"
"68360","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Mar03","10"
"68360","RUC","Gown, Drape","SB010","drape, sterile, fenestrated 16in x 16in (eye)","item",3.43,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Mar03","10"
"68360","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Mar03","10"
"68360","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Mar03","10"
"68360","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Cutters, Closures, Cautery","SF044","blade, surgical, super-sharp","item",4.16,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Cutters, Closures, Cautery","SF049","suture, nylon, 8-0 to 9-0","item",15.32,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Wound Care, Dressings","SG085","microsponge, cellulose (10 pack uou)","item",3.62,1.00,0.00,"090",,"Mar03","10"
"68360","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,2.00,0.00,"090",,"Mar03","10"
"68360","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"090",,"Mar03","10"
"68362","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68371","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"010",,,
"68371","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"010",,,
"68399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"68400","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Sep04",
"68400","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"68400","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,,
"68400","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"68400","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"68400","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Sep04",
"68400","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Sep04",
"68400","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Sep04",
"68400","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"68400","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"68400","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,5.00,0.00,"010",,"Sep04",
"68400","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,1.00,0.00,"010",,"Sep04",
"68400","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,,
"68400","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,,
"68400","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Sep04",
"68400","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,,
"68400","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,0.00,"010",,"Sep04",
"68400","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Sep04",
"68400","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"68400","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Sep04",
"68400","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Sep04",
"68400","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Sep04",
"68420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Sep04",
"68420","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010","ok","Apr06","J"
"68420","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"68420","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"68420","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"68420","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"68420","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Sep04",
"68420","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Sep04",
"68420","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Sep04",
"68420","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"68420","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"68420","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,5.00,0.00,"010",,"Sep04",
"68420","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,1.00,0.00,"010",,"Sep04",
"68420","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Sep04",
"68420","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"68420","RUC","Wound Care, Dressings","SG067","penrose drain (0.25in x 4in)","item",0.49,1.00,0.00,"010",,"Sep04",
"68420","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Sep04",
"68420","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,0.00,"010",,"Sep04",
"68420","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Sep04",
"68420","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"68420","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Sep04",
"68420","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Sep04",
"68420","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Sep04",
"68440","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010","ok","Apr06","J"
"68500","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,5.50,"090","ok","Apr06","J"
"68500","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68500","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"68500","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"68500","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68500","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68500","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68500","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"68500","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"68505","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,5.50,"090","ok","Apr06","J"
"68505","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68505","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"68505","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"68505","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68505","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68505","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68505","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"68505","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"68510","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Sep04",
"68510","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000","ok","Apr06","J"
"68510","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Sep04",
"68510","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"Sep04",
"68510","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"000",,"Sep04",
"68510","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"000",,"Sep04",
"68510","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"Sep04",
"68510","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Sep04",
"68510","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"Sep04",
"68510","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Sep04",
"68510","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"Sep04",
"68510","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"000",,"Sep04",
"68510","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Sep04",
"68510","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,5.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,1.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"000",,"Sep04",
"68510","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,"Sep04",
"68510","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"Sep04",
"68510","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,0.00,"000",,"Sep04",
"68510","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"000","Sep04","Sep04",
"68510","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"000",,"Sep04",
"68510","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"000",,"Sep04",
"68510","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"Sep04",
"68520","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,1.00,"090","ok","Apr06","J"
"68520","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68520","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"68520","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"68520","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68520","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68520","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68520","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"68520","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"68525","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"68530","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"010",,"Sep04",
"68530","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Apr06","J"
"68530","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"010",,"Sep04",
"68530","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"010",,"Sep04",
"68530","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Sep04",
"68530","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Sep04",
"68530","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Sep04",
"68530","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Sep04",
"68530","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Sep04",
"68530","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"010",,"Sep04",
"68530","RUC","Cutters, Closures, Cautery","SF037","suture, nylon, 4-0 to 6-0, p, ps","item",6.71,1.00,0.00,"010",,"Sep04",
"68530","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"010",,"Sep04",
"68530","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,5.00,0.00,"010",,"Sep04",
"68530","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,1.00,0.00,"010",,"Sep04",
"68530","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Sep04",
"68530","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Sep04",
"68530","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"010",,"Sep04",
"68530","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,1.00,0.00,"010",,"Sep04",
"68530","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Sep04",
"68530","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,20.00,0.00,"010",,"Sep04",
"68530","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"010",,"Sep04",
"68530","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,30.00,0.00,"010",,"Sep04",
"68530","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"010",,"Sep04",
"68540","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,5.00,"090","ok","Apr06","J"
"68540","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68540","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"68540","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"68540","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68540","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68540","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68540","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"68540","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"68550","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,,6.00,"090","ok","Apr06","J"
"68550","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68550","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,6.00,"090",,,
"68550","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,72.00,"090",,,
"68550","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68550","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68550","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68550","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,180.00,"090",,,
"68550","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,200.00,"090",,,
"68700","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68705","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68705","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar03","10"
"68705","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","10"
"68705","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,0.00,"010",,"Mar03","10"
"68705","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68705","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"68705","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"68720","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"68720","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68720","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"68720","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"68720","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68720","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68720","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68720","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"68720","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"68745","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090","ok","Apr06","J"
"68745","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68745","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,4.00,"090",,,
"68745","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,,
"68745","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68745","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68745","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68745","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,120.00,"090",,,
"68745","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,130.00,"090",,,
"68750","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.50,"090","ok","Apr06","J"
"68750","RUC","Cutters, Closures, Cautery","SF006","blade, surgical, super","item",2.08,,1.00,"090",,,
"68750","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,5.00,"090",,,
"68750","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,60.00,"090",,,
"68750","RUC","Pharmacy, Rx","SH027","dexamethasone 0.5% oph oint (4gm uou)","item",6.47,,1.00,"090",,,
"68750","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,,20.00,"090",,,
"68750","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,1.00,"090",,,
"68750","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,150.00,"090",,,
"68750","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,,165.00,"090",,,
"68760","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68760","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Cutters, Closures, Cautery","SF012","cautery, bipolar cord","item",4.73,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Cutters, Closures, Cautery","SF013","cautery, bipolar, pencil-handpiece","item",26.00,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar03","10"
"68760","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","10"
"68760","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,4.00,0.00,"010",,"Mar03","10"
"68760","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68760","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"68760","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"68761","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68761","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","10"
"68761","RUC","Wound Care, Dressings","SG070","punctum plug","pair",40.00,0.50,0.00,"010",,"Mar03","10"
"68761","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,2.00,0.00,"010",,"Mar03","10"
"68761","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"68770","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,4.00,"090",,"Mar03","10"
"68801","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"68801","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.00,2.00,"010",,"Mar03","10"
"68801","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,0.00,"010",,"Mar03","10"
"68810","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.00,2.00,"010",,"Feb08","ss"
"68810","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,0.00,"010",,"Mar03","10"
"68810","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68810","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"68810","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"68811","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,,2.00,"010",,"Mar03","10"
"68815","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.00,2.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB015","drape, sterile, u-shape","item",11.39,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB016","drape-cover, sterile, OR light handle","item",1.05,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Accessory, Procedure","SD179","lacrimal duct stent-tube set","item",74.00,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Wound Care, Dressings","SG046","eye pad, sterile, strabismus","item",0.33,2.00,0.00,"010",,"Mar03","10"
"68815","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"010",,"Mar03","10"
"68815","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,10.00,0.00,"010",,"Mar03","10"
"68815","RUC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,0.50,0.00,"010",,"Mar03","10"
"68815","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68815","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"68815","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"68816","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,3.00,2.00,"010",,"CPT08","I"
"68816","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Accessory, Procedure","SD220","catheter, balloon, lacrimal","item",306.00,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,0.00,"010",,"CPT08","I"
"68816","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Pharmacy, Rx","SH056","phenylephrine 2.5% ophth (Mydfrin)","ml",0.39,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"CPT08","I"
"68816","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"CPT08","I"
"68840","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,2.00,1.00,"010",,"Mar03","10"
"68840","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"010",,"Mar03","10"
"68840","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"010",,"Mar03","10"
"68840","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,6.00,0.00,"010",,"Mar03","10"
"68840","RUC","Pharmacy, Rx","SH032","erythromycin ophth oint (3.5gm uou)","item",2.95,1.00,0.00,"010",,"Mar03","10"
"68840","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"010",,"Mar03","10"
"68840","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"010",,"Mar03","10"
"68840","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,5.00,0.00,"010",,"Mar03","10"
"68840","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"010",,"Mar03","10"
"68850","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"000",,"Mar03","10"
"68850","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Mar03","10"
"68850","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"000",,"Mar03","10"
"68850","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,4.00,0.00,"000",,"Mar03","10"
"68850","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,1.00,0.00,"000",,"Mar03","10"
"68850","RUC","Pharmacy, Rx","SH078","balanced salt soln (BSS) (15ml uou)","item",1.60,1.00,0.00,"000",,"Mar03","10"
"68850","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"000",,"Mar03","10"
"68899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"69000","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"69000","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69000","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"69000","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,,"010",,,
"69000","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,,
"69000","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"69000","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"69000","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"69000","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"69000","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"69000","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"69000","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"69000","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"010",,,
"69000","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"010",,,
"69000","RUC","Wound Care, Dressings","SG032","dental rolls","item",0.02,2.00,,"010",,,
"69000","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"69000","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"69000","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69000","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"69000","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"69000","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,2.00,,"010",,,
"69005","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,1.00,"010",,,
"69005","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"69005","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,,
"69005","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"010",,,
"69005","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"010",,,
"69005","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"010",,,
"69005","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"010",,,
"69005","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"010",,,
"69005","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"010",,,
"69005","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,,"010",,,
"69005","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,1.00,,"010",,,
"69005","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"010",,,
"69005","RUC","Wound Care, Dressings","SG032","dental rolls","item",0.02,4.00,,"010",,,
"69005","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"69005","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,1.00,"010",,,
"69005","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69005","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"69005","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"69005","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,2.00,,"010",,,
"69020","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"010",,,
"69020","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69020","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,,
"69020","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69020","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69020","RUC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"010",,,
"69020","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69020","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,1.00,,"010",,,
"69020","RUC","Wound Care, Dressings","SG059","oto-wick","item",0.90,2.00,1.00,"010",,,
"69020","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"69020","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,4.00,2.00,"010",,,
"69020","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"69020","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69020","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"69020","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,2.00,"010",,,
"69020","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"69020","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,2.00,"010",,,
"69020","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,2.00,,"010",,,
"69090","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"69100","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,1.00,0.00,"000",,,
"69100","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"69100","RUC","Kit, Pack, Tray","SA069","tray, suturing","tray",8.99,1.00,0.00,"000",,,
"69100","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,,
"69100","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"69100","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,,
"69100","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"000",,,
"69100","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"000",,,
"69100","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,,
"69100","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"000",,,
"69100","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,,
"69100","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,0.00,"000",,,
"69100","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"000",,,
"69100","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"69100","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"000",,,
"69100","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"000",,,
"69100","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,0.00,"000",,,
"69100","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"000",,,
"69100","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,,
"69105","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"69105","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"69105","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"69105","RUC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"000",,,
"69105","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,,"000",,,
"69105","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,,"000",,,
"69105","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000",,,
"69105","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,4.00,0.00,"000",,,
"69105","RUC","Wound Care, Dressings","SG059","oto-wick","item",0.90,2.00,,"000",,,
"69105","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,4.00,,"000",,,
"69105","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"69105","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"69105","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"69105","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000",,,
"69110","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Jan04","21"
"69110","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"69110","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"090",,"Jan04","21"
"69110","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"69110","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"69110","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,0.00,"090",,"Jan04","21"
"69110","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,2.00,0.00,"090",,"Jan04","21"
"69110","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,2.00,2.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,3.00,2.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,3.00,2.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,3.00,2.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,0.00,4.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,90.00,60.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,0.00,6.00,"090",,"Jan04","21"
"69110","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,4.00,0.00,"090",,"Jan04","21"
"69110","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Jan04","21"
"69110","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,10.00,5.00,"090",,"Jan04","21"
"69110","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,3.00,2.00,"090",,"Jan04","21"
"69110","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,0.00,10.00,"090",,"Jan04","21"
"69110","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,30.00,"090",,"Jan04","21"
"69110","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"69110","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Jan04","21"
"69120","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69120","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.00,"090",,"Jan04","21"
"69120","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69120","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.00,"090",,"Jan04","21"
"69120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,4.00,"090",,"Jan04","21"
"69120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,4.00,"090",,"Jan04","21"
"69120","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.00,"090",,"Jan04","21"
"69120","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.00,"090",,"Jan04","21"
"69120","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,4.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,2.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,6.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,8.00,"090",,"Jan04","21"
"69120","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,2.00,"090",,"Jan04","21"
"69120","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,2.00,"090",,"Jan04","21"
"69120","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,10.00,"090",,"Jan04","21"
"69120","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.00,"090",,"Jan04","21"
"69120","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,20.00,"090",,"Jan04","21"
"69120","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,10.00,"090",,"Jan04","21"
"69120","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69120","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,2.00,"090",,"Jan04","21"
"69140","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.50,"090",,"Jan04","21"
"69140","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69140","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69140","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69140","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69140","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69140","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69140","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69140","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69140","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69140","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69140","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69140","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69140","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69140","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69140","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69140","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69140","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69140","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69145","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.50,1.50,"090",,"Jan04","21"
"69145","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"69145","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"090",,"Jan04","21"
"69145","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"090",,"Jan04","21"
"69145","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"090",,"Jan04","21"
"69145","RUC","Gown, Drape","SB046","drape, sterile, split-sheet","item",10.24,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Jan04","21"
"69145","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"090",,"Jan04","21"
"69145","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"090",,"Jan04","21"
"69145","RUC","Cutters, Closures, Cautery","SF008","blade, surgical 64,65,67 (Beaver)","item",2.33,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,1.00,1.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,2.00,1.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,2.00,1.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,2.00,1.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,0.00,4.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG059","oto-wick","item",0.90,1.00,0.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,60.00,30.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,0.00,6.00,"090",,"Jan04","21"
"69145","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,8.00,4.00,"090",,"Jan04","21"
"69145","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Jan04","21"
"69145","RUC","Pharmacy, Rx","SH081","Floxin 0.3% otic soln","ml",2.35,10.00,0.00,"090",,"Jan04","21"
"69145","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,10.00,5.00,"090",,"Jan04","21"
"69145","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.50,1.50,"090",,"Jan04","21"
"69145","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,0.00,10.00,"090",,"Jan04","21"
"69145","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,50.00,30.00,"090",,"Jan04","21"
"69145","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"69145","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"090",,"Jan04","21"
"69150","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69150","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69150","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69150","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69150","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69150","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69150","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69150","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69150","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69150","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69150","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69150","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69150","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69150","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69150","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69150","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69150","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69155","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69155","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,5.00,"090",,"Jan04","21"
"69155","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69155","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,5.00,"090",,"Jan04","21"
"69155","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,"Jan04","21"
"69155","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,10.00,"090",,"Jan04","21"
"69155","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,"Jan04","21"
"69155","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Jan04","21"
"69155","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,10.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,5.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,20.00,"090",,"Jan04","21"
"69155","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,5.00,"090",,"Jan04","21"
"69155","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,"Jan04","21"
"69155","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,"Jan04","21"
"69155","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Jan04","21"
"69155","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Jan04","21"
"69155","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,"Jan04","21"
"69155","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69155","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,5.00,"090",,"Jan04","21"
"69200","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"000",,,
"69200","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"69200","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"69200","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"69200","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,,"000",,,
"69200","RUC","Wound Care, Dressings","SG059","oto-wick","item",0.90,1.00,,"000",,,
"69200","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,2.00,,"000",,,
"69200","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"69200","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"69205","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"69205","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"69205","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"69205","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,,1.00,"010",,,
"69210","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"69210","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"69210","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"69210","RUC","Cutters, Closures, Cautery","SF023","curette for ear cerumen","item",0.91,2.00,,"000",,,
"69210","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"69210","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"69210","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,2.00,,"000",,,
"69220","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,,"000",,"CPT12","5 Year"
"69220","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,"CPT12","5 Year"
"69220","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT12","5 Year"
"69220","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,"CPT12","5 Year"
"69220","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,"CPT12","5 Year"
"69220","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,,"000",,"CPT12","5 Year"
"69220","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,2.00,,"000",,"CPT12","5 Year"
"69220","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT12","5 Year"
"69220","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,2.00,,"000",,"CPT12","5 Year"
"69220","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,"CPT12","5 Year"
"69222","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69222","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,,
"69222","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69222","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69222","RUC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"010",,,
"69222","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69222","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,1.00,,"010",,,
"69222","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"69222","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,4.00,2.00,"010",,,
"69222","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"69222","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69222","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"69222","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,2.00,"010",,,
"69222","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"69222","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,2.00,"010",,,
"69222","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,2.00,,"010",,,
"69222","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"69300","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Feb05",
"69300","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"090",,"Feb05",
"69300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Feb05",
"69300","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Feb05",
"69300","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"090","88170","Feb05",
"69300","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF018","cautery, monopolar, electrode, needle","item",1.89,1.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF035","suture, chromic, 2-0 to 5-0","item",4.29,1.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF038","suture, prolene, 3-0 to 7-0, p, ps, pc","item",8.76,2.00,0.00,"090",,"Feb05",
"69300","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"090",,"Feb05",
"69300","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,25.00,0.00,"090",,"Feb05",
"69300","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,12.00,0.00,"090",,"Feb05",
"69300","RUC","Wound Care, Dressings","SG032","dental rolls","item",0.02,4.00,0.00,"090",,"Feb05",
"69300","RUC","Wound Care, Dressings","SG041","dressing, 5in x 9in (Xeroform)","item",1.55,2.00,0.00,"090",,"Feb05",
"69300","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,1.00,0.00,"090",,"Feb05",
"69300","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090","88170","Feb05",
"69300","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,10.00,0.00,"090",,"Feb05",
"69300","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,0.00,"090",,"Feb05",
"69300","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,1.00,0.00,"090",,"Feb05",
"69300","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"090",,"Feb05",
"69300","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"090",,"Feb05",
"69310","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69310","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69310","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69310","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69310","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69310","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69310","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69310","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69310","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69310","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69310","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69310","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69310","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69310","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69310","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69310","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69310","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69310","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69310","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69320","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,5.00,"090",,"Jan04","21"
"69320","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,5.00,"090",,"Jan04","21"
"69320","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69320","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,5.00,"090",,"Jan04","21"
"69320","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69320","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,5.00,"090",,"Jan04","21"
"69320","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,"Jan04","21"
"69320","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,10.00,"090",,"Jan04","21"
"69320","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,"Jan04","21"
"69320","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Jan04","21"
"69320","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,10.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,5.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,20.00,"090",,"Jan04","21"
"69320","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,5.00,"090",,"Jan04","21"
"69320","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,"Jan04","21"
"69320","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,"Jan04","21"
"69320","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Jan04","21"
"69320","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Jan04","21"
"69320","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,"Jan04","21"
"69320","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69320","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,5.00,"090",,"Jan04","21"
"69399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"69400","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"000",,,
"69400","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"69400","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,,
"69400","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"69400","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"69400","RUC","Pharmacy, Rx","SH025","cocaine 4% solution, topical","ml",3.81,4.00,,"000",,,
"69400","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"69400","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"69400","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"69400","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"69400","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,2.00,,"000",,,
"69400","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.06,,"000",,,
"69401","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"000",,,
"69401","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"69401","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"69401","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"69401","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"69405","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"010",,,
"69405","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69405","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"69405","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"010",,,
"69405","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69405","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69405","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69405","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69405","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"69420","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"010",,,
"69420","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"69420","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69420","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69420","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69420","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69420","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"69420","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"010",,,
"69421","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,1.00,"010",,,
"69421","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"69421","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"69421","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,,1.00,"010",,,
"69421","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"69424","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"000",,,
"69424","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"000",,,
"69424","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"69424","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"69424","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"69424","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,,"000",,,
"69424","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"69424","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"000",,,
"69433","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"010",,,
"69433","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69433","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"69433","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69433","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69433","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69433","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69433","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"69433","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"010",,,
"69436","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,1.00,"010",,,
"69436","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,2.00,"010",,,
"69436","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,,2.00,"010",,,
"69436","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,,1.00,"010",,,
"69440","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69440","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69440","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69440","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69440","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69440","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69440","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69440","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69440","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69440","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69440","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69440","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69440","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69440","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69440","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69440","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69440","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69440","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69450","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,2.50,"090",,"Jan04","21"
"69450","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69450","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,2.50,"090",,"Jan04","21"
"69450","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69450","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,2.50,"090",,"Jan04","21"
"69450","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,5.00,"090",,"Jan04","21"
"69450","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,5.00,"090",,"Jan04","21"
"69450","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,2.50,"090",,"Jan04","21"
"69450","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,2.50,"090",,"Jan04","21"
"69450","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,5.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,2.50,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,8.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,10.00,"090",,"Jan04","21"
"69450","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,2.50,"090",,"Jan04","21"
"69450","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,2.50,"090",,"Jan04","21"
"69450","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,12.50,"090",,"Jan04","21"
"69450","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,2.50,"090",,"Jan04","21"
"69450","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,25.00,"090",,"Jan04","21"
"69450","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,12.50,"090",,"Jan04","21"
"69450","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69450","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,2.50,"090",,"Jan04","21"
"69501","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69501","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69501","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69501","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69501","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69501","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69501","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69501","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69501","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69501","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69501","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69501","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69501","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69501","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69501","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69501","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69501","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69502","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69502","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69502","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69502","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69502","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69502","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69502","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69502","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69502","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69502","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69502","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69502","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69502","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69502","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69502","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69502","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69502","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69505","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69505","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69505","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69505","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69505","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69505","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69505","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69505","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69505","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69505","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69505","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69505","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69505","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69505","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69505","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69505","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69505","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69505","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69505","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69511","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69511","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69511","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69511","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69511","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69511","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69511","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69511","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69511","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69511","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69511","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69511","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69511","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69511","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69511","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69511","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69511","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69511","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69511","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69530","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69530","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69530","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69530","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69530","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69530","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69530","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69530","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69530","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69530","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69530","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69530","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69530","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69530","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69530","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69530","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69530","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69530","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69530","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69535","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,5.00,"090",,"Jan04","21"
"69535","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,5.00,"090",,"Jan04","21"
"69535","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69535","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,5.00,"090",,"Jan04","21"
"69535","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69535","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,5.00,"090",,"Jan04","21"
"69535","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,"Jan04","21"
"69535","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,10.00,"090",,"Jan04","21"
"69535","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,"Jan04","21"
"69535","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Jan04","21"
"69535","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,10.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,5.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,20.00,"090",,"Jan04","21"
"69535","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,5.00,"090",,"Jan04","21"
"69535","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,"Jan04","21"
"69535","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,"Jan04","21"
"69535","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Jan04","21"
"69535","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Jan04","21"
"69535","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,"Jan04","21"
"69535","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69535","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,5.00,"090",,"Jan04","21"
"69540","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69540","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,2.00,"010",,,
"69540","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69540","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69540","RUC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"010",,,
"69540","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69540","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,1.00,,"010",,,
"69540","RUC","Wound Care, Dressings","SG059","oto-wick","item",0.90,2.00,1.00,"010",,,
"69540","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"010",,,
"69540","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,4.00,2.00,"010",,,
"69540","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,,"010",,,
"69540","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69540","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,10.00,"010",,,
"69540","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,4.00,2.00,"010",,,
"69540","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,2.00,"010",,,
"69540","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,2.00,"010",,,
"69540","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,2.00,,"010",,,
"69540","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"010",,,
"69550","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,3.50,"090",,"Jan04","21"
"69550","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69550","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69550","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69550","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69550","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69550","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69550","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69550","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69550","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69550","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69550","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69550","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69550","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69550","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69550","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69550","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69550","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69550","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69552","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69552","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69552","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69552","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69552","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69552","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69552","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69552","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69552","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69552","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69552","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69552","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69552","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69552","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69552","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69552","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69552","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69552","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69552","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69554","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69554","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69554","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69554","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69554","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69554","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69554","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69554","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69554","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69554","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69554","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69554","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69554","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69554","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69554","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69554","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69554","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69554","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69554","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69601","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69601","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69601","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69601","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69601","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69601","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69601","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69601","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69601","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69601","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69601","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69601","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69601","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69601","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69601","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69601","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69601","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69602","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69602","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69602","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69602","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69602","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69602","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69602","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69602","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69602","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69602","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69602","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69602","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69602","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69602","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69602","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69602","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69602","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69602","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69603","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69603","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69603","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69603","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69603","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69603","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69603","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69603","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69603","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69603","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69603","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69603","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69603","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69603","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69603","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69603","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69603","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69603","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69603","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69604","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69604","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69604","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69604","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69604","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69604","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69604","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69604","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69604","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69604","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69604","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69604","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69604","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69604","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69604","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69604","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69604","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69604","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69605","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69605","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69605","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69605","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69605","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69605","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69605","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69605","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69605","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69605","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69605","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69605","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69605","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69605","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69605","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69605","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69605","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69605","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69605","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69610","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"010",,,
"69610","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,,"010",,,
"69610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"010",,,
"69610","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"010",,,
"69610","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"010",,,
"69610","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,1.00,"010",,,
"69610","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"010",,,
"69610","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"010",,,
"69610","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"010",,,
"69620","RUC","Kit, Pack, Tray","SA023","kit, phenol applicator","kit",15.15,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,2.00,1.00,"090",,"Jan04","21"
"69620","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,2.00,0.00,"090",,"Jan04","21"
"69620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Jan04","21"
"69620","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,1.00,"090",,"Jan04","21"
"69620","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,4.00,0.00,"090",,"Jan04","21"
"69620","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,1.00,"090",,"Jan04","21"
"69620","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,1.00,"090",,"Jan04","21"
"69620","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,1.00,"090",,"Jan04","21"
"69620","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,2.00,1.00,"090",,"Jan04","21"
"69620","RUC","Accessory, Procedure","SD122","suction tip, Yankauer","item",1.11,2.00,1.00,"090",,"Jan04","21"
"69620","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,4.00,2.00,"090",,"Jan04","21"
"69620","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Cutters, Closures, Cautery","SF020","cautery, monopolar, pencil-handpiece","item",4.63,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Cutters, Closures, Cautery","SF036","suture, nylon, 3-0 to 6-0, c","item",2.40,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,2.00,"090",,"Jan04","21"
"69620","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,3.00,1.00,"090",,"Jan04","21"
"69620","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"090",,"Jan04","21"
"69620","RUC","Pharmacy, Rx","SH081","Floxin 0.3% otic soln","ml",2.35,10.00,5.00,"090",,"Jan04","21"
"69620","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"090",,"Jan04","21"
"69620","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,1.00,"090",,"Jan04","21"
"69620","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,20.00,0.00,"090",,"Jan04","21"
"69620","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"090",,"Jan04","21"
"69620","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,2.00,1.00,"090",,"Jan04","21"
"69631","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69631","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69631","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69631","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69631","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69631","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69631","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69631","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69631","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69631","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69631","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69631","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69631","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69631","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69631","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69631","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69631","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69631","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69632","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69632","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69632","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69632","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69632","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69632","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69632","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69632","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69632","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69632","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69632","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69632","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69632","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69632","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69632","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69632","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69632","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69632","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69633","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69633","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69633","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69633","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69633","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69633","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69633","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69633","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69633","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69633","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69633","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69633","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69633","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69633","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69633","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69633","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69633","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69633","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69635","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.00,"090",,"Jan04","21"
"69635","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69635","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69635","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69635","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69635","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69635","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69635","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69635","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69635","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69635","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69635","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69635","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69635","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69635","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69635","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69635","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69635","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69635","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69636","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69636","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69636","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69636","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69636","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69636","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69636","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69636","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69636","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69636","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69636","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69636","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69636","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69636","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69636","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69636","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69636","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69636","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69636","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69637","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69637","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69637","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69637","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69637","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69637","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69637","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69637","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69637","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69637","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69637","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69637","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69637","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69637","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69637","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69637","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69637","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69637","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69637","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69641","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69641","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69641","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69641","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69641","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69641","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69641","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69641","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69641","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69641","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69641","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69641","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69641","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69641","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69641","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69641","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69641","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69641","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69642","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,5.00,"090",,"Jan04","21"
"69642","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69642","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,5.00,"090",,"Jan04","21"
"69642","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69642","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,5.00,"090",,"Jan04","21"
"69642","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,10.00,"090",,"Jan04","21"
"69642","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,10.00,"090",,"Jan04","21"
"69642","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,5.00,"090",,"Jan04","21"
"69642","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,5.00,"090",,"Jan04","21"
"69642","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,10.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,5.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,18.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,20.00,"090",,"Jan04","21"
"69642","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,5.00,"090",,"Jan04","21"
"69642","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,5.00,"090",,"Jan04","21"
"69642","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,25.00,"090",,"Jan04","21"
"69642","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,5.00,"090",,"Jan04","21"
"69642","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,50.00,"090",,"Jan04","21"
"69642","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,25.00,"090",,"Jan04","21"
"69642","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69642","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,5.00,"090",,"Jan04","21"
"69643","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69643","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69643","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69643","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69643","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69643","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69643","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69643","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69643","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69643","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69643","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69643","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69643","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69643","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69643","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69643","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69643","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69643","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69644","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69644","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69644","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69644","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69644","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69644","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69644","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69644","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69644","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69644","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69644","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69644","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69644","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69644","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69644","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69644","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69644","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69644","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69644","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69645","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69645","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69645","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69645","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69645","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69645","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69645","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69645","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69645","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69645","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69645","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69645","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69645","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69645","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69645","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69645","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69645","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69645","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69645","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69646","RUC","Kit, Pack, Tray","SA042","pack, cleaning and disinfecting, endoscope","pack",15.52,,4.50,"090",,"Jan04","21"
"69646","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69646","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69646","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69646","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69646","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69646","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69646","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69646","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69646","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69646","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69646","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69646","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69646","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69646","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69646","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69646","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69646","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69646","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69650","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69650","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69650","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69650","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69650","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69650","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69650","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69650","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69650","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69650","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69650","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69650","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69650","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69650","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69650","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69650","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69650","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69650","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69660","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69660","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69660","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69660","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69660","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69660","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69660","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69660","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69660","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69660","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69660","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69660","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69660","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69660","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69660","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69660","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69660","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69660","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69661","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69661","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69661","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69661","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69661","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69661","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69661","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69661","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69661","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69661","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69661","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69661","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69661","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69661","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69661","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69661","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69661","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69661","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69662","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69662","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69662","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69662","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69662","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69662","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69662","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69662","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69662","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69662","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69662","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69662","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69662","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69662","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69662","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69662","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69662","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69662","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69666","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69666","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69666","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69666","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69666","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69666","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69666","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69666","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69666","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69666","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69666","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69666","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69666","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69666","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69666","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69666","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69666","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69666","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69667","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69667","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69667","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69667","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69667","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69667","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69667","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69667","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69667","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69667","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69667","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69667","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69667","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69667","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69667","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69667","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69667","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69667","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69670","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69670","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69670","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69670","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69670","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69670","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69670","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69670","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69670","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69670","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69670","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69670","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69670","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69670","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69670","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69670","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69670","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69670","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69676","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69676","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69676","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69676","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69676","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69676","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69676","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69676","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69676","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69676","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69676","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69676","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69676","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69676","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69676","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69676","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69676","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69676","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69700","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69700","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69700","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69700","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69700","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69700","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69700","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69700","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69700","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69700","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69700","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69700","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69700","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69700","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69700","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69700","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69700","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69710","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"69711","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69711","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69711","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69711","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69711","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69711","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69711","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69711","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69711","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69711","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69711","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69711","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69711","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69711","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69711","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69711","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69711","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69714","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69714","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69714","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69714","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69714","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69714","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69714","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69714","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69714","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69714","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69714","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69714","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69714","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69714","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69714","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69714","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69714","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69715","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69715","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69715","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69715","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69715","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69715","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69715","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69715","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69715","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69715","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69715","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69715","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69715","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69715","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69715","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69715","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69715","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69717","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69717","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69717","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69717","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69717","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69717","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69717","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69717","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69717","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69717","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69717","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69717","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69717","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69717","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69717","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69717","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69717","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69718","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69718","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69718","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69718","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69718","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69718","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69718","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69718","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69718","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69718","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69718","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69718","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69718","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69718","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69718","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69718","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69718","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69720","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.50,"090",,"Jan04","21"
"69720","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69720","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.50,"090",,"Jan04","21"
"69720","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69720","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.50,"090",,"Jan04","21"
"69720","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,9.00,"090",,"Jan04","21"
"69720","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,9.00,"090",,"Jan04","21"
"69720","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.50,"090",,"Jan04","21"
"69720","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.50,"090",,"Jan04","21"
"69720","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,9.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.50,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,16.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,18.00,"090",,"Jan04","21"
"69720","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.50,"090",,"Jan04","21"
"69720","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.50,"090",,"Jan04","21"
"69720","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,22.50,"090",,"Jan04","21"
"69720","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.50,"090",,"Jan04","21"
"69720","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,45.00,"090",,"Jan04","21"
"69720","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,22.50,"090",,"Jan04","21"
"69720","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69720","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.50,"090",,"Jan04","21"
"69725","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69725","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69725","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69725","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69725","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69725","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69725","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69725","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69725","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69725","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69725","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69725","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69725","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69725","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69725","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69725","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69725","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69725","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69740","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69740","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69740","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69740","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69740","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69740","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69740","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69740","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69740","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69740","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69740","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69740","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69740","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69740","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69740","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69740","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69740","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69740","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69745","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69745","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69745","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69745","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69745","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69745","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69745","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69745","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69745","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69745","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69745","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69745","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69745","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69745","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69745","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69745","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69745","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69745","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"69801","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"000",,"CPT11","35"
"69801","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"CPT11","35"
"69801","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"000",,"CPT11","35"
"69801","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"000",,"CPT11","35"
"69801","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,0.00,"000",,"CPT11","35"
"69801","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Accessory, Procedure","SD214","tubing, suction, non-latex (2ft) with Frazier tip (1)","item",7.55,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Pharmacy, Rx","SH088","phenol, liquified, USP","ml",0.13,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"CPT11","35"
"69801","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"CPT11","35"
"69801","RUC","Lab","SL038","cup-container, sterile, graduated 1000ml","item",1.14,1.00,0.00,"000",,"CPT11","35"
"69805","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69805","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69805","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69805","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69805","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69805","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69805","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69805","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69805","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69805","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69805","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69805","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69805","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69805","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69805","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69805","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69805","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69806","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69806","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69806","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69806","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69806","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69806","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69806","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69806","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69806","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69806","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69806","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69806","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69806","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69806","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69806","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69806","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69806","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69820","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69820","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69820","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69820","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69820","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69820","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69820","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69820","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69820","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69820","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69820","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69820","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69820","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69820","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69820","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69820","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69820","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69840","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69840","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69840","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69840","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69840","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69840","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69840","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69840","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69840","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69840","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69840","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69840","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69840","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69840","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69840","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69840","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69840","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69840","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69905","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.50,"090",,"Jan04","21"
"69905","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69905","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69905","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69905","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69905","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69905","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69905","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69905","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69905","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69905","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69905","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69905","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69905","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69905","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69905","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69905","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69905","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69910","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69910","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.50,"090",,"Jan04","21"
"69910","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69910","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.50,"090",,"Jan04","21"
"69910","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,7.00,"090",,"Jan04","21"
"69910","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,7.00,"090",,"Jan04","21"
"69910","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.50,"090",,"Jan04","21"
"69910","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.50,"090",,"Jan04","21"
"69910","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,7.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.50,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,12.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,14.00,"090",,"Jan04","21"
"69910","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.50,"090",,"Jan04","21"
"69910","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.50,"090",,"Jan04","21"
"69910","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,17.50,"090",,"Jan04","21"
"69910","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.50,"090",,"Jan04","21"
"69910","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,35.00,"090",,"Jan04","21"
"69910","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,17.50,"090",,"Jan04","21"
"69910","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69910","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.50,"090",,"Jan04","21"
"69915","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69915","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69915","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69915","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69915","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69915","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69915","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69915","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69915","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69915","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69915","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69915","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69915","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69915","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69915","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69915","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69915","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69930","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,3.00,"090",,"Jan04","21"
"69930","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69930","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69930","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69930","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69930","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69930","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69930","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69930","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69930","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69930","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69930","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69930","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69930","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69930","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69930","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69930","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69930","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69949","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"69950","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69950","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,3.00,"090",,"Jan04","21"
"69950","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69950","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,3.00,"090",,"Jan04","21"
"69950","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090",,"Jan04","21"
"69950","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,6.00,"090",,"Jan04","21"
"69950","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,3.00,"090",,"Jan04","21"
"69950","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,3.00,"090",,"Jan04","21"
"69950","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,6.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,3.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,10.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,12.00,"090",,"Jan04","21"
"69950","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,3.00,"090",,"Jan04","21"
"69950","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,3.00,"090",,"Jan04","21"
"69950","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,15.00,"090",,"Jan04","21"
"69950","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,3.00,"090",,"Jan04","21"
"69950","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,30.00,"090",,"Jan04","21"
"69950","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,15.00,"090",,"Jan04","21"
"69950","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69950","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,3.00,"090",,"Jan04","21"
"69955","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69955","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69955","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69955","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69955","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69955","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69955","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69955","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69955","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69955","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,2.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,78.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69955","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69955","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69955","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69955","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69955","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69955","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69955","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,2.00,"090",,"Jan04","21"
"69955","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69960","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69960","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69960","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69960","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69960","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69960","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69960","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69960","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69960","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69960","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69960","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69960","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69960","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69960","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69960","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69960","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69960","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69970","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,,4.00,"090",,"Jan04","21"
"69970","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090",,"Jan04","21"
"69970","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,,4.00,"090",,"Jan04","21"
"69970","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,1.00,"090",,"Jan04","21"
"69970","RUC","Gown, Drape","SB026","gown, patient","item",0.53,,4.00,"090",,"Jan04","21"
"69970","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,8.00,"090",,"Jan04","21"
"69970","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,,8.00,"090",,"Jan04","21"
"69970","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,,4.00,"090",,"Jan04","21"
"69970","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,,4.00,"090",,"Jan04","21"
"69970","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,,8.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,,1.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG016","bandage, Kerlix, sterile 4.5in","item",1.77,,1.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,,1.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,,4.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG042","dressing, ear (Glasscock)","item",12.00,,1.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,,14.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,48.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,,16.00,"090",,"Jan04","21"
"69970","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,,4.00,"090",,"Jan04","21"
"69970","RUC","Pharmacy, Rx","SH024","Cipro HC otic soln","ml",10.23,,4.00,"090",,"Jan04","21"
"69970","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,,20.00,"090",,"Jan04","21"
"69970","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,,4.00,"090",,"Jan04","21"
"69970","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,,40.00,"090",,"Jan04","21"
"69970","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,20.00,"090",,"Jan04","21"
"69970","RUC","Pharmacy, NonRx","SJ060","tincture of benzoin, swab","item",0.32,,1.00,"090",,"Jan04","21"
"69970","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,,4.00,"090",,"Jan04","21"
"69979","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"69990","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"70010","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,0.00,0.00,"XXX",,"CPT11","Letter"
"70010","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,0.00,0.00,"XXX",,"CPT11","Letter"
"70010","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.00,0.00,"XXX",,"CPT11","Letter"
"70010","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,0.00,0.00,"XXX",,"CPT11","Letter"
"70010","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.00,0.00,"XXX",,"CPT11","Letter"
"70015","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Jan04","7"
"70015","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,5.00,0.00,"XXX",,"Jan04","7"
"70015","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"70015","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"70015","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"70030","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70030","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"70030","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"70030","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70030","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"70100","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Jan04","8"
"70100","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.50,0.00,"XXX",,"Jan04","8"
"70100","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70100","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.50,0.00,"XXX",,"Jan04","8"
"70110","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","8"
"70110","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","8"
"70110","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70110","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","8"
"70120","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Jan04","8"
"70120","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Jan04","8"
"70120","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70120","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Jan04","8"
"70130","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,6.00,0.00,"XXX",,"Jan04","8"
"70130","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","8"
"70130","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70130","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","8"
"70134","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70134","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Aug03","7"
"70134","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"70134","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70134","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"70140","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70140","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Aug03","7"
"70140","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"70140","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70140","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"70150","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70150","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Aug03","7"
"70150","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"70150","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70150","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"70160","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70160","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"70160","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"70160","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70160","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"70170","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"70190","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70190","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"70190","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"70190","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70190","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"70200","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70200","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Aug03","7"
"70200","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"70200","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70200","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"70210","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70210","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Aug03","7"
"70210","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"70210","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70210","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"70220","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70220","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"70220","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"70220","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70220","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"70240","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70240","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Aug03","7"
"70240","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"70240","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70240","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"70250","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70250","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"70250","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"70250","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70250","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"70260","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70260","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Aug03","7"
"70260","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"70260","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70260","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"70300","RUC","Office Supply, Grocery","SK024","film, dental","item",0.95,1.00,0.00,"XXX",,"Jan04","8"
"70300","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,0.50,0.00,"XXX",,"Jan04","8"
"70300","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70300","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"XXX",,"Jan04","8"
"70310","RUC","Office Supply, Grocery","SK024","film, dental","item",0.95,12.00,0.00,"XXX",,"Jan04","8"
"70310","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","8"
"70310","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70310","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","8"
"70320","RUC","Office Supply, Grocery","SK024","film, dental","item",0.95,16.00,0.00,"XXX",,"Jan04","8"
"70320","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","8"
"70320","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70320","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","8"
"70328","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","8"
"70328","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","8"
"70328","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70328","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","8"
"70330","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","8"
"70330","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","8"
"70330","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70330","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","8"
"70332","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","7"
"70332","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"70332","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"70332","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"70336","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70336","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"70336","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70350","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Jan04","8"
"70350","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","8"
"70350","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","8"
"70350","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","8"
"70355","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Jan04","8"
"70355","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","8"
"70355","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","8"
"70360","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70360","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Aug03","7"
"70360","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"70360","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70360","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"70370","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"70370","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"70370","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"70370","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"70370","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"70370","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"70371","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"70371","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"70371","RUC","Pharmacy, Rx","SH071","Telepaque capsule","item",0.74,2.00,0.00,"XXX",,"Jan04","7"
"70371","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Pharmacy, Rx","SH071","Telepaque capsule","item",0.74,2.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,6.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"70373","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"70380","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70380","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"70380","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"70380","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70380","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"70390","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"70390","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,10.00,0.00,"XXX",,"Jan04","7"
"70390","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,10.00,0.00,"XXX",,"Jan04","7"
"70390","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"70390","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,10.00,0.00,"XXX",,"Jan04","7"
"70450","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70450","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70450","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70450","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70450","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70460","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Aug03","7"
"70470","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT12","May 33"
"70470","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 33"
"70470","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,,"XXX",,"CPT12","May 33"
"70480","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70480","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70480","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70480","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70480","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70481","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70482","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,14.00,0.00,"XXX",,"Aug03","7"
"70486","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70486","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70486","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70486","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70486","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70487","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70488","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,9.00,0.00,"XXX",,"Aug03","7"
"70490","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70490","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70490","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70490","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70490","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70491","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70492","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,9.00,0.00,"XXX",,"Aug03","7"
"70496","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"70496","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"70496","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"70496","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"70496","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"70496","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,,
"70496","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,,
"70496","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"70496","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"70496","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,0.34,,"XXX",,,
"70496","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"70496","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"XXX",,,
"70496","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70498","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"70498","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"70498","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"70498","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"70498","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"70498","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,,
"70498","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,,
"70498","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"70498","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"70498","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,0.34,,"XXX",,,
"70498","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"70498","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"XXX",,,
"70498","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70540","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70540","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"70540","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70542","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70542","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70543","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"70544","RUC","Gown, Drape","SB029","cap-headcover, patient","item",0.06,1.00,,"XXX",,,
"70544","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70544","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"70544","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,,
"70544","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"70544","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70545","RUC","Gown, Drape","SB029","cap-headcover, patient","item",0.06,1.00,,"XXX",,,
"70545","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"70545","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"70545","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"70545","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"XXX",,,
"70545","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,,
"70545","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"70545","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"XXX",,,
"70545","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70545","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"70545","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"70545","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,,
"70545","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"70545","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70546","RUC","Gown, Drape","SB029","cap-headcover, patient","item",0.06,1.00,,"XXX",,,
"70546","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"70546","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"70546","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"70546","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"XXX",,,
"70546","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,,
"70546","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"70546","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"XXX",,,
"70546","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70546","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"70546","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"70546","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,,
"70546","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"70546","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70547","RUC","Gown, Drape","SB029","cap-headcover, patient","item",0.06,1.00,,"XXX",,,
"70547","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70547","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"70547","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,,
"70547","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"70547","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70548","RUC","Gown, Drape","SB029","cap-headcover, patient","item",0.06,1.00,,"XXX",,,
"70548","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"70548","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"70548","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"70548","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"XXX",,,
"70548","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,,
"70548","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"70548","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"XXX",,,
"70548","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70548","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"70548","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"70548","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,,
"70548","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"70548","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70549","RUC","Gown, Drape","SB029","cap-headcover, patient","item",0.06,1.00,,"XXX",,,
"70549","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"70549","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"70549","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"70549","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,2.00,,"XXX",,,
"70549","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,,
"70549","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"70549","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,,"XXX",,,
"70549","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70549","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"70549","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"70549","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,,
"70549","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"70549","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70551","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"70551","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"70551","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"70552","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70552","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"70553","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"70554","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT07",
"70554","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT07",
"70554","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,"CPT07",
"70554","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT07",
"70554","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT07",
"70554","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,,"XXX",,"CPT07",
"70555","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"70557","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"70558","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"70559","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"71010","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71010","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Aug03","7"
"71010","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"71010","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71010","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71015","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71015","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"71015","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"71015","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71015","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"71020","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71020","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"71020","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"71020","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71020","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"71021","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71021","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"71021","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"71021","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71021","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"71022","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71022","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Aug03","7"
"71022","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"71022","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71022","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"71023","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"71023","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Jan04","7"
"71023","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","7"
"71023","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"71023","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"71023","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"71030","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71030","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Aug03","7"
"71030","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"71030","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71030","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"71034","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"71034","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Jan04","7"
"71034","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","7"
"71034","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"71034","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"71034","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"71035","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71035","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"71035","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"71035","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71035","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"71100","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71100","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"71100","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"71100","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71100","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"71101","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71101","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"71101","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"71101","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71101","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"71110","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71110","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"71110","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"71110","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71110","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"71111","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71111","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,5.00,0.00,"XXX",,"Aug03","7"
"71111","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,5.00,0.00,"XXX",,"Aug03","7"
"71111","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71111","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,5.00,0.00,"XXX",,"Aug03","7"
"71120","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71120","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"71120","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"71120","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71120","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"71130","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71130","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"71130","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"71130","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71130","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"71250","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71250","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"71250","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"71250","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71250","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,2.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71260","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,2.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71270","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,9.00,0.00,"XXX",,"Aug03","7"
"71275","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"71275","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"71275","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"71275","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"71275","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"71275","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,,
"71275","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,,
"71275","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"71275","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"71275","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,0.34,,"XXX",,,
"71275","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"71275","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,24.00,,"XXX",,,
"71275","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"71550","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"71550","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,12.00,,"XXX",,,
"71550","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"71551","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71551","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71552","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,14.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"71555","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,"Aug03","7"
"72010","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72010","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"72010","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Aug03","7"
"72010","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,7.00,0.00,"XXX",,"Aug03","7"
"72010","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72010","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,7.00,0.00,"XXX",,"Aug03","7"
"72020","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72020","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Aug03","7"
"72020","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"72020","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72020","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72040","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 22"
"72040","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,,"XXX",,"CPT13","May 22"
"72040","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"XXX",,"CPT13","May 22"
"72040","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"XXX",,"CPT13","May 22"
"72050","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 22"
"72050","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,5.00,,"XXX",,"CPT13","May 22"
"72050","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,5.00,,"XXX",,"CPT13","May 22"
"72050","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,5.00,,"XXX",,"CPT13","May 22"
"72052","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 22"
"72052","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,7.00,,"XXX",,"CPT13","May 22"
"72052","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,7.00,,"XXX",,"CPT13","May 22"
"72052","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,7.00,,"XXX",,"CPT13","May 22"
"72069","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"72069","RUC","Office Supply, Grocery","SK035","film, x-ray 14in x 36in","item",2.44,2.00,0.00,"XXX",,"Jan04","7"
"72069","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"72069","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72069","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"72070","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72070","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"72070","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"72070","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72070","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72072","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72072","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Aug03","7"
"72072","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"72072","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"72072","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72072","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"72074","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72074","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Aug03","7"
"72074","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"72074","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72074","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"72080","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72080","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"72080","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"72080","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72080","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72090","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72090","RUC","Office Supply, Grocery","SK035","film, x-ray 14in x 36in","item",2.44,3.00,0.00,"XXX",,"Aug03","7"
"72090","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"72090","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72090","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"72100","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 18"
"72100","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,,"XXX",,"CPT12","May 18"
"72100","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,2.00,,"XXX",,"CPT12","May 18"
"72100","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"XXX",,"CPT12","May 18"
"72100","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"XXX",,"CPT12","May 18"
"72110","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 18"
"72110","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,,"XXX",,"CPT12","May 18"
"72110","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,4.00,,"XXX",,"CPT12","May 18"
"72110","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,5.00,,"XXX",,"CPT12","May 18"
"72110","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,5.00,,"XXX",,"CPT12","May 18"
"72114","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 18"
"72114","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,,"XXX",,"CPT12","May 18"
"72114","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,6.00,,"XXX",,"CPT12","May 18"
"72114","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,7.00,,"XXX",,"CPT12","May 18"
"72114","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,7.00,,"XXX",,"CPT12","May 18"
"72120","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,3.00,,"XXX",,"CPT12","May 18"
"72120","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"XXX",,"CPT12","May 18"
"72120","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,,"XXX",,"CPT12","May 18"
"72125","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72125","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72125","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72125","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72125","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,2.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72126","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,2.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72127","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,9.00,0.00,"XXX",,"Aug03","7"
"72128","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72128","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72128","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72128","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72128","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,2.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72129","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,2.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72130","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,9.00,0.00,"XXX",,"Aug03","7"
"72131","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72131","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72131","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72131","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72131","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72132","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72133","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,9.00,0.00,"XXX",,"Aug03","7"
"72141","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"72141","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"72141","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"72142","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72142","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"72146","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"72146","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"72146","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"72147","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72147","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"72148","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"72148","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"72148","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"72149","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72149","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72156","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72157","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72158","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72159","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,"Aug03","7"
"72170","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 35"
"72170","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,"CPT12","May 35"
"72170","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,"CPT12","May 35"
"72170","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 35"
"72170","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,,"XXX",,"CPT12","May 35"
"72190","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72190","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"72190","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"72190","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72190","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"72191","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,3.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 48"
"72191","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,,"XXX",,"CPT13","May 48"
"72191","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,11.00,,"XXX",,"CPT13","May 48"
"72192","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT13","May 49"
"72192","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"CPT13","May 49"
"72192","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT13","May 49"
"72192","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,0.00,"XXX",,"CPT13","May 49"
"72192","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"CPT13","May 49"
"72193","CMS","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"72193","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"72193","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Wound Care, Dressings","SG059","oto-wick","item",0.90,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"72194","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"72194","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,,"XXX",,"CPT13","May 49"
"72195","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"72195","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"72195","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"72196","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72196","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72197","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72198","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,"Aug03","7"
"72200","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72200","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"72200","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"72200","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72200","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72202","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72202","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"72202","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"72202","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72202","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"72220","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"72220","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"72220","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"72220","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"72220","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"72240","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Jan04","7"
"72240","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,5.00,0.00,"XXX",,"Jan04","7"
"72240","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"72240","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72240","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"72255","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Jan04","7"
"72255","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","7"
"72255","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"72255","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72255","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"72265","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Jan04","7"
"72265","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,5.00,0.00,"XXX",,"Jan04","7"
"72265","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"72265","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72265","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"72270","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,0.00,"XXX",,"Jan04","7"
"72270","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,10.00,0.00,"XXX",,"Jan04","7"
"72270","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,16.00,0.00,"XXX",,"Jan04","7"
"72270","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72270","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,16.00,0.00,"XXX",,"Jan04","7"
"72275","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Jan04","7"
"72275","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","7"
"72275","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"72275","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72275","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"72285","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Jan04","7"
"72285","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","7"
"72285","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"72285","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72285","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"72291","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"72292","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"72295","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Jan04","7"
"72295","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","7"
"72295","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"72295","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"72295","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"73000","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73000","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73000","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73000","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73000","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73010","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73010","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73010","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73010","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73010","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73020","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73020","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Aug03","7"
"73020","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"73020","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73020","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73030","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 36"
"73030","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,,"XXX",,"CPT12","May 36"
"73030","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"XXX",,"CPT12","May 36"
"73030","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 36"
"73030","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 36"
"73040","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,0.00,"XXX",,"Jan04","7"
"73040","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"73040","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73040","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"73050","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73050","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"73050","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73050","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73050","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73060","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73060","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"73060","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73060","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73060","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73070","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73070","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Aug03","7"
"73070","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73070","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73070","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73080","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73080","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Aug03","7"
"73080","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"73080","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73080","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"73085","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,6.00,0.00,"XXX",,"Jan04","7"
"73085","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"73085","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73085","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"73090","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73090","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Aug03","7"
"73090","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73090","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73090","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73092","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73092","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73092","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73092","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73092","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73100","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73100","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Aug03","7"
"73100","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73100","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73100","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73110","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73110","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Aug03","7"
"73110","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"73110","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73110","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"73115","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,8.00,0.00,"XXX",,"Jan04","7"
"73115","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"73115","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73115","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"73120","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73120","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73120","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73120","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73120","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73130","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73130","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"73130","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73130","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73130","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73140","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73140","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,3.00,0.00,"XXX",,"Aug03","7"
"73140","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73140","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73140","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73200","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73200","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73200","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73200","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73200","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73201","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73202","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"73206","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"73206","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"73206","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"73206","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"73206","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"73206","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,,
"73206","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,,
"73206","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"73206","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"73206","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,0.34,,"XXX",,,
"73206","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"73206","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,12.00,,"XXX",,,
"73206","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"73218","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"73218","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"73218","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"73219","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73219","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73220","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"73221","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","Mar 7"
"73221","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,"CPT13","Mar 7"
"73221","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,"CPT13","Mar 7"
"73221","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,"CPT13","Mar 7"
"73221","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,,"XXX",,"CPT13","Mar 7"
"73221","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,,"XXX",,"CPT13","Mar 7"
"73222","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73222","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73223","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73225","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,"Aug03","7"
"73500","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73500","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Aug03","7"
"73500","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"73500","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73500","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73510","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73510","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"73510","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73510","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73510","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73520","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"73520","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Jan04","7"
"73520","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Jan04","7"
"73520","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73520","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Jan04","7"
"73525","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Mar04","R"
"73525","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Mar04","R"
"73525","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","R"
"73525","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Mar04","R"
"73530","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","E"
"73540","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73540","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73540","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73540","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73540","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73550","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"73550","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Jan04","7"
"73550","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"73550","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73550","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"73560","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73560","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73560","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73560","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73560","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73562","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73562","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"73562","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73562","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73562","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73564","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73564","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Aug03","7"
"73564","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"73564","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73564","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"73565","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73565","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73565","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73565","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73565","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73580","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,0.00,"XXX",,"Jan04","7"
"73580","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"73580","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73580","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"73590","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73590","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73590","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73590","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73590","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73592","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"73592","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Jan04","7"
"73592","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"73592","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73592","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"73600","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73600","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73600","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73600","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73600","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73610","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73610","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"73610","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73610","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73610","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73615","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,6.00,0.00,"XXX",,"Jan04","7"
"73615","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"73615","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"73615","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"73620","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 37"
"73620","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,,"XXX",,"CPT12","May 37"
"73620","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"XXX",,"CPT12","May 37"
"73620","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"000",,"CPT12","May 37"
"73620","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 37"
"73630","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73630","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"73630","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73630","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73630","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73650","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73650","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"73650","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"73650","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73650","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73660","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73660","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Aug03","7"
"73660","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"73660","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73660","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"73700","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73700","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73700","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73700","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73700","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73701","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73702","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"73706","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"73706","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"73706","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"73706","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"73706","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"73706","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,,
"73706","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,,
"73706","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"73706","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"73706","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,0.34,,"XXX",,,
"73706","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"73706","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,24.00,,"XXX",,,
"73706","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"73718","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"73718","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"73718","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"73719","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73719","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73720","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"73721","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","Mar 7"
"73721","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,"CPT13","Mar 7"
"73721","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,"CPT13","Mar 7"
"73721","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,"CPT13","Mar 7"
"73721","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,,"XXX",,"CPT13","Mar 7"
"73721","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,,"XXX",,"CPT13","Mar 7"
"73722","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73722","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73723","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"73725","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,"Aug03","7"
"74000","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74000","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Aug03","7"
"74000","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"74000","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74000","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"74010","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74010","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"74010","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"74010","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74010","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"74020","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74020","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Aug03","7"
"74020","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Aug03","7"
"74020","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74020","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Aug03","7"
"74022","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74022","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Aug03","7"
"74022","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Aug03","7"
"74022","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74022","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Aug03","7"
"74150","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT13","May 49"
"74150","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"CPT13","May 49"
"74150","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT13","May 49"
"74150","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,0.00,"XXX",,"CPT13","May 49"
"74150","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"CPT13","May 49"
"74160","CMS","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"74160","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"74160","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"74170","RUC","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"74170","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,,"XXX",,"CPT13","May 49"
"74174","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,3.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT12","May 19"
"74174","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,,"XXX",,"CPT12","May 19"
"74174","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,23.00,,"XXX",,"CPT12","May 19"
"74175","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,3.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 48"
"74175","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,,"XXX",,"CPT13","May 48"
"74175","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,11.00,,"XXX",,"CPT13","May 48"
"74176","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT11","36"
"74176","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT11","36"
"74176","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"74176","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"74176","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,,"XXX",,"CPT11","36"
"74177","CMS","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"74177","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"74177","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Hypodermic, IV","SC002","angiocatheter set","item",11.27,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Hypodermic, IV","SC025","needle, 14-20g, biopsy","item",8.37,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,6.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,15.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,"CPT13","May 49"
"74178","CMS","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,"CPT13","May 49"
"74178","CMS","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,16.00,,"XXX",,"CPT13","May 49"
"74181","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"74181","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"74181","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"74182","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74182","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,10.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74183","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"74185","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,"Aug03","7"
"74190","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74210","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74210","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"74210","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"74210","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"74210","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74210","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Pharmacy, Rx","SH013","barium high density susp (11-12oz uou)","item",3.71,1.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Pharmacy, Rx","SH029","effervescent granules (Sparkles, EZ Gas) (4gm uou)","item",2.14,1.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74220","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"74230","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74230","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"74230","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"74230","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"74230","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74230","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"74235","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74240","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74240","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"74240","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,5.00,0.00,"XXX",,"Jan04","7"
"74240","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,5.00,0.00,"XXX",,"Jan04","7"
"74240","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74240","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,5.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,5.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74241","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,1.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,6.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,5.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,11.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74245","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,11.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Pharmacy, Rx","SH013","barium high density susp (11-12oz uou)","item",3.71,1.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Pharmacy, Rx","SH029","effervescent granules (Sparkles, EZ Gas) (4gm uou)","item",2.14,1.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,7.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,7.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74246","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,7.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Pharmacy, Rx","SH013","barium high density susp (11-12oz uou)","item",3.71,1.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Pharmacy, Rx","SH029","effervescent granules (Sparkles, EZ Gas) (4gm uou)","item",2.14,1.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,7.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74247","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Pharmacy, Rx","SH029","effervescent granules (Sparkles, EZ Gas) (4gm uou)","item",2.14,1.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,5.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,13.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74249","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,13.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Pharmacy, Rx","SH013","barium high density susp (11-12oz uou)","item",3.71,1.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,5.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74250","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Kit, Pack, Tray","SA004","kit, barium with insufflator","kit",32.98,1.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Accessory, Procedure","SD023","catheter, enteroclysis","item",183.01,1.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,5.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,9.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74251","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,9.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Kit, Pack, Tray","SA004","kit, barium with insufflator","kit",32.98,1.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Accessory, Procedure","SD023","catheter, enteroclysis","item",183.01,1.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,9.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,9.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74260","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,9.00,0.00,"XXX",,"Jan04","7"
"74261","RUC","Kit, Pack, Tray","SA102","kit, tubing, use w-automated insufflation, CT colonography","kit",20.83,1.00,0.00,"XXX",,"CPT10","15"
"74261","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"CPT10","15"
"74261","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT10","15"
"74261","RUC","Accessory, Procedure","SD228","gas, CO2, use w-automated insufflation, CT colonography","liter",1.82,4.00,0.00,"XXX",,"CPT10","15"
"74261","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","15"
"74262","RUC","Kit, Pack, Tray","SA102","kit, tubing, use w-automated insufflation, CT colonography","kit",20.83,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Accessory, Procedure","SD228","gas, CO2, use w-automated insufflation, CT colonography","liter",1.82,4.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"CPT10","15"
"74262","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","15"
"74263","RUC","Kit, Pack, Tray","SA102","kit, tubing, use w-automated insufflation, CT colonography","kit",20.83,1.00,0.00,"XXX",,"CPT10","15"
"74263","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"CPT10","15"
"74263","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT10","15"
"74263","RUC","Accessory, Procedure","SD228","gas, CO2, use w-automated insufflation, CT colonography","liter",1.82,4.00,0.00,"XXX",,"CPT10","15"
"74263","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","15"
"74270","RUC","Kit, Pack, Tray","SA073","kit, barium enema","kit",9.46,1.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,10.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74270","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,10.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Kit, Pack, Tray","SA004","kit, barium with insufflator","kit",32.98,1.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,12.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74280","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,12.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Kit, Pack, Tray","SA073","kit, barium enema","kit",9.46,1.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74283","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","7"
"74290","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74290","RUC","Pharmacy, Rx","SH071","Telepaque capsule","item",0.74,1.00,0.00,"XXX",,"Jan04","7"
"74290","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Jan04","7"
"74290","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Jan04","7"
"74290","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74290","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Jan04","7"
"74291","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74291","RUC","Pharmacy, Rx","SH071","Telepaque capsule","item",0.74,2.00,0.00,"XXX",,"Jan04","7"
"74291","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,3.00,0.00,"XXX",,"Jan04","7"
"74291","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,0.00,"XXX",,"Jan04","7"
"74291","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74291","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,3.00,0.00,"XXX",,"Jan04","7"
"74300","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"74301","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"74305","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","7"
"74320","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","9"
"74320","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"74320","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"74320","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"74320","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Jan04","9"
"74320","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"74327","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"74327","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"74327","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"74327","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"74327","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"XXX",,"Jan04","9"
"74327","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"74328","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","7"
"74329","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","7"
"74330","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","7"
"74340","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","7"
"74355","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"74360","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"74363","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"74400","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"74400","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"74400","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"74400","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"74400","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"XXX",,,
"74400","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"74400","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"XXX",,,
"74400","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,,"XXX",,,
"74400","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"XXX",,,
"74400","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"XXX",,,
"74410","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"74410","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"74410","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"74410","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"74410","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"XXX",,,
"74410","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"74410","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"XXX",,,
"74410","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,1.00,,"XXX",,,
"74410","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"XXX",,,
"74410","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"XXX",,,
"74415","RUC","Kit, Pack, Tray","SA066","tray, myelogram","tray",23.86,1.00,,"XXX",,,
"74415","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"74415","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"74415","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"74415","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"74415","RUC","Hypodermic, IV","SC028","needle, 18-26g 1.5-3.5in, spinal","item",3.31,1.00,,"XXX",,,
"74415","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"74415","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"XXX",,,
"74415","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,11.00,,"XXX",,,
"74415","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"74415","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"XXX",,,
"74420","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74425","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74430","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"74430","RUC","Gown, Drape","SB026","gown, patient","item",0.53,2.00,,"XXX",,,
"74430","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,,"XXX",,,
"74430","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,,"XXX",,,
"74440","RUC","Gown, Drape","SB014","drape, sterile, three-quarter sheet","item",3.83,1.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,6.00,0.00,"XXX",,"Mar04","V"
"74440","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74445","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74450","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74455","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"74455","RUC","Gown, Drape","SB026","gown, patient","item",0.53,2.00,,"XXX",,,
"74455","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,,"XXX",,,
"74455","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,,"XXX",,,
"74470","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","7"
"74475","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","V"
"74475","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Mar04","V"
"74475","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","V"
"74475","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Mar04","V"
"74475","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Mar04","V"
"74480","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","V"
"74480","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Mar04","V"
"74480","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","V"
"74480","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Mar04","V"
"74480","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Mar04","V"
"74485","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","V"
"74485","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Mar04","V"
"74485","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","V"
"74485","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Mar04","V"
"74485","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Mar04","V"
"74710","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"74710","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Jan04","7"
"74710","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"74710","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"74710","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"74740","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"74740","RUC","Gown, Drape","SB026","gown, patient","item",0.53,2.00,,"XXX",,,
"74740","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,,"XXX",,,
"74740","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,,"XXX",,,
"74742","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"74775","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"75557","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,1.00,0.00,"XXX",,"CPT08","J"
"75557","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT08","J"
"75559","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,5.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,2.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,4.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,1.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,2.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT08","J"
"75559","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT08","J"
"75559","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,40.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,2.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,4.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,1.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,2.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT08","J"
"75561","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT08","J"
"75561","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,40.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,2.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,4.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,4.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Hypodermic, IV","SC059","syringe, 25ml (MRI power injector)","item",5.44,1.00,0.00,"XXX",,,
"75563","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,4.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,1.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,2.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT08","J"
"75563","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT08","J"
"75563","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,40.00,0.00,"XXX",,"CPT08","J"
"75565","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT10","16"
"75571","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","17"
"75571","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,3.00,0.00,"XXX",,"CPT10","17"
"75571","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75571","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","17"
"75572","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,3.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,3.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT10","17"
"75572","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","17"
"75573","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,3.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,3.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT10","17"
"75573","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","17"
"75574","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,3.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Accessory, Procedure","SD145","cannula, anterior chamber, 18-27g","item",2.68,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,3.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT10","17"
"75574","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"CPT10","17"
"75600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75600","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75600","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75600","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"75600","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75600","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75600","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75600","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"75605","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75605","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75605","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75605","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75605","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75605","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75625","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75625","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75625","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75625","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75625","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75625","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75630","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75630","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75630","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75630","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75630","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75630","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75635","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"75635","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"75635","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"75635","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"75635","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"75635","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,,"XXX",,,
"75635","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,,"XXX",,,
"75635","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"75635","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"75635","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,0.34,,"XXX",,,
"75635","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"75635","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,36.00,,"XXX",,,
"75635","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"75658","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75658","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75658","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75658","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75658","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75658","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75705","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75705","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75705","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75705","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75705","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75705","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75710","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75710","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75710","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75710","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75710","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75710","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75716","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75716","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75716","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75716","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75716","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Jan04","9"
"75716","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75726","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75726","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75726","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75726","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75726","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75726","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75731","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75731","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75731","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75731","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75731","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75731","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75733","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75733","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75733","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75733","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75733","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Jan04","9"
"75733","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75736","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75736","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75736","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75736","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75736","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75736","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75741","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75741","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75741","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75741","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75741","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75741","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75743","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75743","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75743","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75743","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75743","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"Jan04","9"
"75743","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75746","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75746","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75746","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75746","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75746","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"Jan04","9"
"75746","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75756","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75756","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75756","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75756","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75756","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Jan04","9"
"75756","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75774","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"ZZZ",,"Jan04","9"
"75791","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"CPT10","29"
"75791","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"CPT10","29"
"75801","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75803","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75805","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75807","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75809","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75809","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75809","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Jan04","9"
"75809","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75810","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75820","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75820","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75820","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75820","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75820","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75820","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75822","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75822","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75822","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75822","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75822","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"Jan04","9"
"75822","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75825","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75825","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75825","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75825","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75825","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75825","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75827","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75827","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75827","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75827","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75827","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75827","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75831","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75831","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75831","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75831","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75831","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75831","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75833","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75833","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75833","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75833","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75833","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"Jan04","9"
"75833","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75840","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75840","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75840","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75840","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75840","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75840","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75842","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75842","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75842","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75842","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75842","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,8.00,0.00,"XXX",,"Jan04","9"
"75842","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75860","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75860","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75860","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75860","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75860","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75860","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75870","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75870","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75870","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75870","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75870","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75870","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75872","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75872","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75872","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75872","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75872","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75872","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75880","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75880","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75880","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75880","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75880","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75880","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75885","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"CPT10","41"
"75885","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT10","41"
"75885","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"CPT10","41"
"75885","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT10","41"
"75885","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"CPT10","41"
"75885","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"CPT10","41"
"75887","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"CPT10","41"
"75887","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT10","41"
"75887","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"CPT10","41"
"75887","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT10","41"
"75887","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"CPT10","41"
"75887","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"CPT10","41"
"75889","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75889","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75889","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75889","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75889","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75889","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75891","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75891","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75891","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75891","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75891","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75891","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75893","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75893","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75893","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75893","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75893","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Jan04","9"
"75893","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75894","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75896","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75898","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75901","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,3.00,,"XXX",,,
"75901","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"75901","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"75902","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,3.00,,"XXX",,,
"75902","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"75902","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"75945","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"75946","RUC","NO DETAILS","SX001","ACTIVE",,,,,"ZZZ",,,
"75952","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"75953","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"75954","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"75956","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"75957","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"75958","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"75959","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"75960","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,0.00,"XXX",,"Apr07","S"
"75960","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,10.00,0.00,"XXX",,"Apr07","S"
"75960","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,10.00,0.00,"XXX",,"Apr07","S"
"75962","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75962","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75962","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75962","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75962","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"XXX",,"Jan04","9"
"75962","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75964","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"ZZZ",,"Jan04","9"
"75966","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75966","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75966","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75966","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75966","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"XXX",,"Jan04","9"
"75966","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75968","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"ZZZ",,"Jan04","9"
"75970","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75978","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"XXX",,"Jan04","9"
"75978","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75978","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75978","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75978","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"XXX",,"Jan04","9"
"75978","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"75980","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75982","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"75984","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Mar04","R"
"75984","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","R"
"75984","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Mar04","R"
"75984","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Mar04","R"
"75989","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","9"
"75989","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"75989","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"75989","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"75989","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Jan04","9"
"75989","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"76000","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"XXX",,,
"76000","RUC","Office Supply, Grocery","SK028","film, fluoroscopic 14 x 17","item",3.69,1.00,,"XXX",,,
"76000","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76001","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"76010","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76010","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"76010","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"76010","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76010","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76080","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"76080","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"76080","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Jan04","9"
"76080","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"76098","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Aug03","7"
"76098","RUC","Infection Control","SM009","cleaner, x-ray cassette-screen","oz",0.89,0.50,0.00,"XXX",,"Aug03","7"
"76098","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.50,0.00,"XXX",,"Aug03","7"
"76098","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"XXX",,"Aug03","7"
"76100","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"76100","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,10.00,0.00,"XXX",,"Jan04","7"
"76100","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,10.00,0.00,"XXX",,"Jan04","7"
"76100","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"76100","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,10.00,0.00,"XXX",,"Jan04","7"
"76101","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"76101","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,16.00,0.00,"XXX",,"Jan04","7"
"76101","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,16.00,0.00,"XXX",,"Jan04","7"
"76101","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"76101","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,16.00,0.00,"XXX",,"Jan04","7"
"76102","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"76102","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,24.00,0.00,"XXX",,"Jan04","7"
"76102","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,24.00,0.00,"XXX",,"Jan04","7"
"76102","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"76102","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,24.00,0.00,"XXX",,"Jan04","7"
"76120","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"76120","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"Feb05",
"76120","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Feb05",
"76120","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Feb05",
"76125","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"76140","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"76376","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"XXX",,"RUC05",
"76376","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"RUC05",
"76376","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"RUC05",
"76377","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,8.00,0.00,"XXX",,"RUC05",
"76377","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"RUC05",
"76377","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"RUC05",
"76380","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76380","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76380","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"76380","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76380","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"XXX",,"Aug03","7"
"76390","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76390","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76390","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,0.00,"XXX",,"Aug03","7"
"76390","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"76390","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Aug03","7"
"76496","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"76497","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"76498","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"76499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"76506","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76506","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76506","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"76506","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76506","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76506","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76506","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76506","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76506","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76510","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76510","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,10.00,0.00,"XXX",,,
"76510","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,20.00,0.00,"XXX",,,
"76511","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76511","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,5.00,0.00,"XXX",,,
"76511","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,10.00,0.00,"XXX",,,
"76512","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76512","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,5.00,0.00,"XXX",,,
"76512","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,10.00,0.00,"XXX",,,
"76513","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76513","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,7.00,0.00,"XXX",,,
"76513","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,10.00,0.00,"XXX",,,
"76514","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Apr06","J"
"76516","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76516","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,7.00,0.00,"XXX",,,
"76516","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,10.00,0.00,"XXX",,,
"76519","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76519","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,7.00,0.00,"XXX",,,
"76519","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,10.00,0.00,"XXX",,,
"76529","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"76529","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,7.00,0.00,"XXX",,,
"76529","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,10.00,0.00,"XXX",,,
"76536","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76536","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76536","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76536","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76536","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76536","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"XXX",,,
"76536","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76536","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76536","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76604","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Aug03","7"
"76604","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Aug03","7"
"76604","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Aug03","7"
"76645","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Aug03","7"
"76645","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76700","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"76700","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"76700","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"76700","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76700","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"76700","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76700","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"76700","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"XXX",,,
"76700","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76700","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,30.00,,"XXX",,,
"76700","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,3.00,,"XXX",,,
"76700","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"76705","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Aug03","7"
"76705","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Aug03","7"
"76705","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76770","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"76770","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"76770","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"76770","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76770","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76770","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"76770","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76770","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"76770","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76770","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76770","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76770","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76775","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Aug03","7"
"76775","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Aug03","7"
"76775","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76776","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT07",
"76776","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"CPT07",
"76776","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"CPT07",
"76776","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"CPT07",
"76776","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,10.00,0.00,"XXX",,"CPT07",
"76776","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"CPT07",
"76800","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Jan04","7"
"76800","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Jan04","7"
"76800","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Jan04","7"
"76801","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76801","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76801","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76801","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76801","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"76801","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,,"XXX",,,
"76801","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76801","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76801","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76802","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"ZZZ",,,
"76802","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,1.00,,"ZZZ",,,
"76802","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,,
"76805","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76805","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76805","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76805","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76805","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76805","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,5.00,,"XXX",,,
"76805","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76805","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76805","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76810","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"ZZZ",,,
"76810","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,1.00,,"ZZZ",,,
"76810","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"ZZZ",,,
"76811","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76811","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76811","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76811","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76811","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"XXX",,,
"76811","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,6.00,,"XXX",,,
"76811","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76811","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76811","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76812","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"ZZZ",,,
"76812","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"ZZZ",,,
"76812","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"ZZZ",,,
"76813","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT07",
"76813","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT07",
"76813","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT07",
"76813","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"CPT07",
"76813","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,0.00,"XXX",,"CPT07",
"76813","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT07",
"76813","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,10.00,0.00,"XXX",,"CPT07",
"76813","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"CPT07",
"76814","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,0.00,"ZZZ",,"CPT07",
"76815","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76815","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76815","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76815","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76815","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76815","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,5.00,,"XXX",,,
"76815","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76815","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76815","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76816","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76816","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76816","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76816","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"76816","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,3.00,,"XXX",,,
"76816","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76816","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76816","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76817","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76817","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76817","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX",,,
"76817","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,1.00,,"XXX",,,
"76817","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76817","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,,"XXX",,,
"76817","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76817","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76817","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76818","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"76818","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"76818","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"76818","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"76818","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"76818","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"76818","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"76818","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"XXX",,,
"76819","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"76819","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"76819","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"76819","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"76819","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"76819","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"76819","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"76820","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,,
"76821","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,,
"76821","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX","88171",,
"76821","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX","88171",,
"76821","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,,
"76821","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,,
"76821","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,,
"76821","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,,
"76821","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"76821","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.30,0.00,"XXX",,,
"76821","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,,
"76825","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"76825","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"76825","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"76825","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,,
"76825","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,,
"76825","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"76825","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"76825","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.03,,"XXX",,,
"76825","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,,
"76826","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"76826","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"76826","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"76826","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,,
"76826","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,,
"76826","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"76826","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"76826","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.03,,"XXX",,,
"76826","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,,
"76827","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"76828","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"76830","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,"CPT13","May 50"
"76830","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT13","May 50"
"76831","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"76831","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76831","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76831","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX",,,
"76831","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,,"XXX",,,
"76831","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76831","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76831","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76831","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76831","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76831","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76856","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76856","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76856","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76856","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76856","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76856","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76856","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76856","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76856","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76857","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76857","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76857","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76857","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76857","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76857","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76857","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76857","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76857","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76870","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"76870","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"76870","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"76870","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76870","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76870","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76870","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76870","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76870","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76870","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76870","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76872","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Pharmacy, NonRx","SJ057","thermometer (single use)","item",0.10,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT13","May 50"
"76873","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"76873","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,,,"XXX",,,
"76873","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76873","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"76873","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX",,,
"76873","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"76873","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76873","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76873","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76873","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76873","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76873","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76881","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT11","37"
"76881","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,"CPT11","37"
"76881","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,"CPT11","37"
"76881","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,"CPT11","37"
"76881","RUC","Office Supply, Grocery","SK038","film, x-ray 8in x 10in (X-omat, Radiomat)","item",1.43,2.00,,"XXX",,"CPT11","37"
"76881","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,"CPT11","37"
"76881","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT11","37"
"76882","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT11","37"
"76882","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,"CPT11","37"
"76882","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,"CPT11","37"
"76882","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,"CPT11","37"
"76882","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT11","37"
"76885","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"76885","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"76885","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"76885","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"76885","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,,"XXX",,,
"76885","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"76885","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"76885","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,,"XXX",,,
"76885","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"76886","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,2.00,0.00,"XXX",,"Aug03","7"
"76886","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Aug03","7"
"76886","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76930","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"76932","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"76936","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Jan04","7"
"76936","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Jan04","7"
"76936","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Jan04","7"
"76937","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"ZZZ",,,
"76937","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,2.00,,"ZZZ",,,
"76937","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,3.00,,"ZZZ",,,
"76937","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"ZZZ",,,
"76937","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,6.00,,"ZZZ",,,
"76937","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,150.00,,"ZZZ",,,
"76937","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,,
"76937","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"ZZZ",,,
"76937","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"ZZZ",,,
"76937","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,5.00,,"ZZZ",,,
"76937","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"ZZZ",,,
"76940","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Feb05","B"
"76941","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"76942","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,1.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,0.00,"XXX",,"Feb05","O"
"76942","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Feb05","O"
"76945","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","9"
"76946","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"76946","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76946","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,0.00,"XXX",,"Aug03","7"
"76946","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76948","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"76948","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76948","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,0.00,"XXX",,"Aug03","7"
"76948","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"76950","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"XXX",,"CPT12","Oct 8"
"76950","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,0.00,"XXX",,"CPT12","Oct 8"
"76950","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,32.00,0.00,"XXX",,"CPT12","Oct 8"
"76965","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"XXX",,"Mar04","V"
"76965","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"XXX",,"Mar04","V"
"76965","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Mar04","V"
"76965","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"XXX",,"Mar04","V"
"76965","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"XXX",,"Mar04","V"
"76965","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,0.00,"XXX",,"Mar04","V"
"76970","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"76970","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Aug03","7"
"76970","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"76970","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Aug03","7"
"76970","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"76970","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX",,"Aug03","7"
"76975","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Feb05","f"
"76977","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"76998","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","R"
"76999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77001","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,,"ZZZ",,,
"77001","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,3.00,,"ZZZ",,,
"77001","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"ZZZ",,,
"77001","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,1.00,,"ZZZ",,,
"77001","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"ZZZ",,,
"77001","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,,"ZZZ",,,
"77001","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"ZZZ",,,
"77001","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"ZZZ",,,
"77002","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","9"
"77002","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"77002","RUC","Office Supply, Grocery","SK028","film, fluoroscopic 14 x 17","item",3.69,1.00,0.00,"XXX",,"Jan04","9"
"77002","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"77002","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"XXX",,"Jan04","9"
"77002","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"77003","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,,"XXX",,"CPT13","Mar 8"
"77003","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","Mar 8"
"77003","RUC","Office Supply, Grocery","SK028","film, fluoroscopic 14 x 17","item",3.69,1.00,,"XXX",,"CPT13","Mar 8"
"77003","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,"CPT13","Mar 8"
"77003","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT13","Mar 8"
"77003","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,,"XXX",,"CPT13","Mar 8"
"77003","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,"CPT13","Mar 8"
"77011","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"77011","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Jan04","7"
"77011","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","7"
"77011","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"77011","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Jan04","7"
"77012","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Jan04","9"
"77012","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","9"
"77012","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,"Jan04","9"
"77012","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","9"
"77013","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"77014","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT12","Oct 8"
"77014","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT12","Oct 8"
"77014","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"CPT12","Oct 8"
"77021","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"77022","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"77031","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Mar04","R"
"77031","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Mar04","R"
"77031","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","R"
"77031","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Mar04","R"
"77032","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,8.00,0.00,"XXX",,"Mar04","R"
"77032","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Mar04","R"
"77032","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","R"
"77032","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Mar04","R"
"77051","RUC","Office Supply, Grocery","SK090","x-ray digitalization separator sheet","item",1.50,1.00,,"ZZZ",,,
"77052","RUC","Office Supply, Grocery","SK090","x-ray digitalization separator sheet","item",1.50,1.00,,"ZZZ",,,
"77053","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Mar04","R"
"77053","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Mar04","R"
"77053","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","R"
"77053","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Mar04","R"
"77054","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,8.00,0.00,"XXX",,"Mar04","R"
"77054","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,8.00,0.00,"XXX",,"Mar04","R"
"77054","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Mar04","R"
"77054","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,8.00,0.00,"XXX",,"Mar04","R"
"77055","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,3.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Infection Control","SM009","cleaner, x-ray cassette-screen","oz",0.89,0.50,0.00,"XXX",,"Aug03","7"
"77055","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.50,0.00,"XXX",,"Aug03","7"
"77055","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,0.00,"XXX",,"Aug03","7"
"77055","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,6.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,6.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Infection Control","SM009","cleaner, x-ray cassette-screen","oz",0.89,0.50,0.00,"XXX",,"Aug03","7"
"77056","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.50,0.00,"XXX",,"Aug03","7"
"77056","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"77056","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,4.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,4.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Infection Control","SM009","cleaner, x-ray cassette-screen","oz",0.89,0.50,0.00,"XXX",,"Aug03","7"
"77057","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.50,0.00,"XXX",,"Aug03","7"
"77057","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Aug03","7"
"77057","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77058","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77059","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,12.00,0.00,"XXX",,"Aug03","7"
"77071","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"77071","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Jan04","7"
"77071","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","7"
"77071","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"77071","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","7"
"77072","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77072","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Aug03","7"
"77072","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"77072","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77072","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77073","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77073","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,0.00,"XXX",,"Aug03","7"
"77073","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Aug03","7"
"77073","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77073","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Aug03","7"
"77074","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"77074","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Jan04","7"
"77074","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,3.00,0.00,"XXX",,"Jan04","7"
"77074","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,7.00,0.00,"XXX",,"Jan04","7"
"77074","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","7"
"77074","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,7.00,0.00,"XXX",,"Jan04","7"
"77075","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77075","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,4.00,0.00,"XXX",,"Aug03","7"
"77075","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,11.00,0.00,"XXX",,"Aug03","7"
"77075","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,15.00,0.00,"XXX",,"Aug03","7"
"77075","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77075","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,17.00,0.00,"XXX",,"Aug03","7"
"77076","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,11.00,0.00,"XXX",,"Aug03","7"
"77076","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Aug03","7"
"77076","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,15.00,0.00,"XXX",,"Aug03","7"
"77076","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77076","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,15.00,0.00,"XXX",,"Aug03","7"
"77077","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Aug03","7"
"77077","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,2.00,0.00,"XXX",,"Aug03","7"
"77077","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Aug03","7"
"77077","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Aug03","7"
"77077","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Aug03","7"
"77078","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","7"
"77078","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"Jan04","7"
"77080","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","Mar 9"
"77080","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,1.00,,"XXX",,"CPT13","Mar 9"
"77080","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,"CPT13","Mar 9"
"77081","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Feb07","27"
"77084","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,,
"77084","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,10.00,,"XXX",,,
"77084","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"77261","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"77262","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"77263","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"77280","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"77280","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"77280","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"77280","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,,
"77280","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"77280","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"77280","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,2.00,,"XXX",,,
"77280","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77280","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"XXX",,,
"77280","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,11.00,,"XXX",,,
"77280","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX",,,
"77285","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"77285","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"77285","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"77285","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,,
"77285","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,,
"77285","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"77285","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"XXX",,,
"77285","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,5.00,,"XXX",,,
"77285","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77285","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,,"XXX",,,
"77285","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,22.00,,"XXX",,,
"77285","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"77290","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"XXX",,,
"77290","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"77290","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"77290","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"77290","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,,
"77290","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,,"XXX",,,
"77290","RUC","Accessory, Procedure","SD013","catheter plug","item",1.43,1.00,,"XXX",,,
"77290","RUC","Accessory, Procedure","SD017","catheter, balloon, rectal pressure","item",20.62,1.00,,"XXX",,,
"77290","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"XXX",,,
"77290","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,,
"77290","RUC","Pharmacy, Rx","SH014","barium paste","oz",1.81,8.00,,"XXX",,,
"77290","RUC","Pharmacy, Rx","SH060","renographin-60","ml",0.38,50.00,,"XXX",,,
"77290","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,50.00,,"XXX",,,
"77290","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX",,,
"77290","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"77290","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,,"XXX",,,
"77290","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,5.00,,"XXX",,,
"77290","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77290","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,,"XXX",,,
"77290","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,22.00,,"XXX",,,
"77290","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"77295","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,0.00,"XXX",,"Jan04","10"
"77299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77300","RUC","Office Supply, Grocery","SK002","anatomical drawings (for treatment recording)","item",1.75,1.00,,"XXX",,,
"77300","RUC","Office Supply, Grocery","SK056","paper, graph-plotter","item",0.63,1.00,,"XXX",,,
"77300","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77301","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Accessory, Procedure","SD096","markers, radiographic, multi-modality","item",2.00,4.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.33,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK025","film, dry, radiographic, 8in x 10in","item",0.98,6.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,6.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK038","film, x-ray 8in x 10in (X-omat, Radiomat)","item",1.43,20.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,20.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,20.00,,"XXX",,"CPT13","May 51"
"77301","RUC","Lab","SL001","acetone","ml",0.01,6.00,,"XXX",,"CPT13","May 51"
"77305","RUC","Cutters, Closures, Cautery","SF041","wire, contouring (radiation treatment)","lb",20.00,,,"XXX",,,
"77310","RUC","Cutters, Closures, Cautery","SF041","wire, contouring (radiation treatment)","lb",20.00,,,"XXX",,,
"77315","RUC","Cutters, Closures, Cautery","SF041","wire, contouring (radiation treatment)","lb",20.00,,,"XXX",,,
"77321","RUC","Office Supply, Grocery","SK002","anatomical drawings (for treatment recording)","item",1.75,1.00,,"XXX",,,
"77321","RUC","Office Supply, Grocery","SK056","paper, graph-plotter","item",0.63,1.00,,"XXX",,,
"77321","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77326","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","10"
"77326","RUC","Office Supply, Grocery","SK053","pad, nail polish remover","item",0.04,1.00,0.00,"XXX",,"Jan04","10"
"77326","RUC","Office Supply, Grocery","SK056","paper, graph-plotter","item",0.63,5.00,0.00,"XXX",,"Jan04","10"
"77326","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,8.00,0.00,"XXX",,"Jan04","10"
"77327","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","10"
"77327","RUC","Office Supply, Grocery","SK053","pad, nail polish remover","item",0.04,1.00,0.00,"XXX",,"Jan04","10"
"77327","RUC","Office Supply, Grocery","SK056","paper, graph-plotter","item",0.63,5.00,0.00,"XXX",,"Jan04","10"
"77327","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,8.00,0.00,"XXX",,"Jan04","10"
"77328","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","10"
"77328","RUC","Office Supply, Grocery","SK053","pad, nail polish remover","item",0.04,1.00,0.00,"XXX",,"Jan04","10"
"77328","RUC","Office Supply, Grocery","SK056","paper, graph-plotter","item",0.63,5.00,0.00,"XXX",,"Jan04","10"
"77328","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,8.00,0.00,"XXX",,"Jan04","10"
"77331","RUC","Office Supply, Grocery","SK056","paper, graph-plotter","item",0.63,1.00,,"XXX",,,
"77331","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77332","RUC","Accessory, Procedure","SD007","bolus material (Superflab)","item",55.00,1.00,,"XXX",,,
"77333","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"77333","RUC","Lab","SL082","impression material, dental putty (per bite block)","item",2.13,1.00,,"XXX",,,
"77333","RUC","Lab","SL119","sealant spray","oz",,,0.00,"XXX",,,
"77334","RUC","Gown, Drape","SB025","gloves, work-utility","pair",3.40,,,"XXX",,,
"77334","RUC","Gown, Drape","SB038","safety glasses","item",2.90,1.00,,"XXX",,,
"77334","RUC","Accessory, Procedure","SD001","alloy, low temp fusible (Cerrobend, Indalloy)","lb",4.22,15.00,,"XXX",,,
"77334","RUC","Accessory, Procedure","SD120","styrofoam block, high density (3in-12in-12in)","item",1.85,1.00,,"XXX",,,
"77334","RUC","Accessory, Procedure","SD138","wire, Nic-chrome","foot",0.45,,,"XXX",,,
"77334","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,,
"77334","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"XXX",,,
"77334","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"77334","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77334","RUC","Lab","SL094","mold release agent, silicone spray","oz",0.54,1.00,,"XXX",,,
"77336","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,,"XXX",,,
"77338","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,9.00,0.00,"XXX",,"CPT10","18"
"77370","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,5.00,,"XXX",,,
"77371","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT07",
"77371","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT07",
"77371","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,,"XXX",,"CPT07",
"77371","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT07",
"77371","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,10.00,,"XXX",,"CPT07",
"77371","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,4.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,2.00,0.00,"XXX",,"CPT10","rv"
"77371","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,2.00,0.00,"XXX",,"CPT10","rv"
"77372","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,,"XXX",,"CPT07",
"77372","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT07",
"77372","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT07",
"77372","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,,"XXX",,"CPT07",
"77372","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT07",
"77372","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT07",
"77372","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,10.00,,"XXX",,"CPT07",
"77372","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT07",
"77372","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,"CPT07",
"77372","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,"CPT07",
"77372","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT07",
"77372","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,,"XXX",,"CPT07",
"77372","RUC","Office Supply, Grocery","SK094","x-ray marking pencil","item",0.93,1.00,,"XXX",,"CPT07",
"77373","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","Feb 16"
"77373","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT12","Feb 16"
"77373","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT12","Feb 16"
"77373","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,,"XXX",,"CPT12","Feb 16"
"77373","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,10.00,,"XXX",,"CPT12","Feb 16"
"77373","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,10.00,,"XXX",,"CPT12","Feb 16"
"77399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77401","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77401","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77401","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77401","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77402","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77402","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77402","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77402","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77402","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77403","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77403","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77403","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77403","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77403","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77404","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77404","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77404","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77404","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77404","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77406","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77406","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77406","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77406","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77406","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77407","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77407","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77407","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77407","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77407","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77408","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77408","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77408","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,2.00,,"XXX",,,
"77408","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77408","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77409","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77409","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77409","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77409","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77409","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77411","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77411","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77411","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77411","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77411","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77412","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77412","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77412","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77412","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77412","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77413","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77413","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77413","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77413","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77413","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77414","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77414","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77414","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77414","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77414","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77416","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,,
"77416","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,2.00,,"XXX",,,
"77416","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77416","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,10.00,,"XXX",,,
"77416","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,15.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,,"XXX",,,
"77417","RUC","Office Supply, Grocery","SK094","x-ray marking pencil","item",0.93,1.00,,"XXX",,,
"77418","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,8.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Pharmacy, NonRx","SJ018","earplugs","pair",0.16,1.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,2.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,2.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,2.00,,"XXX",,"CPT12","Oct 8"
"77418","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,7.00,,"XXX",,"CPT12","Oct 8"
"77421","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT12","Oct 8"
"77422","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"RUC05",
"77422","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"RUC05",
"77422","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"RUC05",
"77422","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,0.00,"XXX",,"RUC05",
"77422","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"77422","RUC","Office Supply, Grocery","SK107","fee, usage, cycletron/acceleator, gammaknife, Lincac SRS System","min",3.65,51.00,0.00,"XXX",,"RUC05",
"77423","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"RUC05",
"77423","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"RUC05",
"77423","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"RUC05",
"77423","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,0.00,"XXX",,"RUC05",
"77423","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"77423","RUC","Office Supply, Grocery","SK107","fee, usage, cycletron/acceleator, gammaknife, Lincac SRS System","min",3.65,71.00,0.00,"XXX",,"RUC05",
"77427","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,0.00,"XXX",,"CPT11","65"
"77431","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","10"
"77432","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"77435","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT12","Feb 16"
"77469","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT12","May 20"
"77470","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","10"
"77499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77520","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77522","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77523","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77525","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"77600","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,5.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC070","catheter, hyperthermia, closed-end","item",20.00,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC071","catheter, hyperthermia, open-end","item",20.00,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Hypodermic, IV","SC078","needle, flexi, hyperthermia","item",12.00,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,4.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,480.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","10"
"77600","RUC","Lab","SL020","bleach","ml",1.0e-03,1137.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,2.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,5.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Hypodermic, IV","SC070","catheter, hyperthermia, closed-end","item",20.00,4.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Hypodermic, IV","SC078","needle, flexi, hyperthermia","item",12.00,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,4.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,480.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","10"
"77605","RUC","Lab","SL020","bleach","ml",1.0e-03,1137.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,2.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,5.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Hypodermic, IV","SC070","catheter, hyperthermia, closed-end","item",20.00,6.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Hypodermic, IV","SC078","needle, flexi, hyperthermia","item",12.00,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,4.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,4.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,480.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","10"
"77610","RUC","Lab","SL020","bleach","ml",1.0e-03,1137.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,2.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,5.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,12.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Hypodermic, IV","SC070","catheter, hyperthermia, closed-end","item",20.00,16.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Hypodermic, IV","SC078","needle, flexi, hyperthermia","item",12.00,1.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,4.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,18.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,480.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"XXX",,"Jan04","10"
"77615","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,2.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,5.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,4.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,2.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Hypodermic, IV","SC070","catheter, hyperthermia, closed-end","item",20.00,3.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Hypodermic, IV","SC078","needle, flexi, hyperthermia","item",12.00,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,4.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,3.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Pharmacy, Rx","SH049","lidocaine 2% w-epi inj (Xylocaine w-epi)","ml",0.08,10.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,480.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","10"
"77620","RUC","Lab","SL020","bleach","ml",1.0e-03,1137.00,0.00,"XXX",,"Jan04","10"
"77750","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,3.00,2.00,"090",,"Jan04","10"
"77750","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"090",,"Jan04","10"
"77750","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"090",,"Jan04","10"
"77750","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"090",,"Jan04","10"
"77750","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"090",,"Jan04","10"
"77750","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,60.00,0.00,"090",,"Jan04","10"
"77750","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,8.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Jan04","10"
"77761","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090",,"Jan04","10"
"77761","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Wound Care, Dressings","SG063","packing, gauze plain 1in (5 yd uou)","item",4.42,2.00,0.00,"090",,"Jan04","10"
"77761","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,45.00,0.00,"090",,"Jan04","10"
"77761","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Jan04","10"
"77761","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,4.00,0.00,"090",,"Jan04","10"
"77762","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,8.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Jan04","10"
"77762","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090",,"Jan04","10"
"77762","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Wound Care, Dressings","SG063","packing, gauze plain 1in (5 yd uou)","item",4.42,2.00,0.00,"090",,"Jan04","10"
"77762","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,45.00,0.00,"090",,"Jan04","10"
"77762","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Jan04","10"
"77762","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,4.00,0.00,"090",,"Jan04","10"
"77763","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Jan04","10"
"77763","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090",,"Jan04","10"
"77763","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Cutters, Closures, Cautery","SF039","suture, silk, 2-0 to 5-0, x, fs, c","item",2.93,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Wound Care, Dressings","SG063","packing, gauze plain 1in (5 yd uou)","item",4.42,2.00,0.00,"090",,"Jan04","10"
"77763","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,45.00,0.00,"090",,"Jan04","10"
"77763","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,0.00,"090",,"Jan04","10"
"77763","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,4.00,0.00,"090",,"Jan04","10"
"77776","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Jan04","10"
"77776","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Jan04","10"
"77776","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,2.00,0.00,"090",,"Jan04","10"
"77776","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"090",,"Jan04","10"
"77776","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","10"
"77776","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Jan04","10"
"77776","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"090",,"Jan04","10"
"77776","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"090",,"Jan04","10"
"77776","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Jan04","10"
"77776","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","10"
"77776","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,4.00,0.00,"090",,"Jan04","10"
"77777","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Jan04","10"
"77777","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,1.00,"090",,"Jan04","10"
"77777","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,2.00,0.00,"090",,"Jan04","10"
"77777","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","10"
"77777","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"090",,"Jan04","10"
"77777","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"090",,"Jan04","10"
"77777","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Jan04","10"
"77777","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"090",,"Jan04","10"
"77777","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Jan04","10"
"77777","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","10"
"77777","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,2.00,0.00,"090",,"Jan04","10"
"77777","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,4.00,0.00,"090",,"Jan04","10"
"77778","RUC","Kit, Pack, Tray","SA045","pack, drapes, cystoscopy","pack",9.86,1.00,0.00,"090",,"Jan04","10"
"77778","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,4.00,3.00,"090",,"Jan04","10"
"77778","RUC","Kit, Pack, Tray","SA088","tray, surgical skin prep, sterile","tray",6.76,2.00,0.00,"090",,"Jan04","10"
"77778","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"090",,"Jan04","10"
"77778","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,2.00,0.00,"090",,"Jan04","10"
"77778","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"090",,"Jan04","10"
"77778","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"090",,"Jan04","10"
"77778","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,4.00,0.00,"090",,"Jan04","10"
"77778","RUC","Accessory, Procedure","SD024","catheter, Foley","item",7.82,1.00,0.00,"090",,"Jan04","10"
"77778","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"090",,"Jan04","10"
"77778","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,2.00,0.00,"090",,"Jan04","10"
"77778","RUC","Pharmacy, NonRx","SJ033","lubricating jelly (Surgilube)","oz",0.50,4.00,0.00,"090",,"Jan04","10"
"77785","RUC","Kit, Pack, Tray","SA027","kit, scissors and clamp","kit",0.62,1.00,,"XXX",,"CPT09","22"
"77785","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"XXX",,"Oct09",
"77785","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"XXX",,"CPT09","22"
"77785","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT09","22"
"77785","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"XXX",,"Oct09",
"77785","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,1.00,,"XXX",,"CPT09","22"
"77785","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Oct09",
"77785","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,,"XXX",,"Oct09",
"77785","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,,"XXX",,"Oct09",
"77785","RUC","Pharmacy, NonRx","SJ059","tincture of benzoin, liquid","ml",0.07,5.00,,"XXX",,"CPT09","22"
"77785","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"Oct09",
"77785","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,13.00,,"XXX",,"CPT09","22"
"77786","RUC","Kit, Pack, Tray","SA027","kit, scissors and clamp","kit",0.62,1.00,,"XXX",,"CPT09","22"
"77786","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"XXX",,"Oct09",
"77786","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,,"XXX",,"CPT09","22"
"77786","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,,"XXX",,"CPT09","22"
"77786","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT09","22"
"77786","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"XXX",,"Oct09",
"77786","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,6.00,,"XXX",,"CPT09","22"
"77786","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Oct09",
"77786","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,,"XXX",,"CPT09","22"
"77786","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,,"XXX",,"Oct09",
"77786","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"XXX",,"CPT09","22"
"77786","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,,"XXX",,"Oct09",
"77786","RUC","Pharmacy, NonRx","SJ059","tincture of benzoin, liquid","ml",0.07,5.00,,"XXX",,"CPT09","22"
"77786","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,6.00,,"XXX",,"Oct09",
"77786","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,13.00,,"XXX",,"CPT09","22"
"77787","RUC","Kit, Pack, Tray","SA027","kit, scissors and clamp","kit",0.62,1.00,,"XXX",,"CPT09","22"
"77787","RUC","Kit, Pack, Tray","SA063","tray, catheter insertion (w-o catheter)","tray",4.13,1.00,,"XXX",,"Oct09",
"77787","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,,"XXX",,"CPT09","22"
"77787","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"XXX",,"CPT09","22"
"77787","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT09","22"
"77787","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"XXX",,"Oct09",
"77787","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,6.00,,"XXX",,"CPT09","22"
"77787","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Oct09",
"77787","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"XXX",,"CPT09","22"
"77787","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,12.00,,"XXX",,"Oct09",
"77787","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,,"XXX",,"CPT09","22"
"77787","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,,"XXX",,"Oct09",
"77787","RUC","Pharmacy, NonRx","SJ059","tincture of benzoin, liquid","ml",0.07,5.00,,"XXX",,"CPT09","22"
"77787","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,8.00,,"XXX",,"Oct09",
"77787","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,13.00,,"XXX",,"CPT09","22"
"77789","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"77789","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"77789","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"77789","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,,
"77789","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,,
"77789","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000",,,
"77789","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,2.00,,"000",,,
"77789","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,,
"77789","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,,
"77789","RUC","Pharmacy, Rx","SH053","neomycin-polymyxin-hc otic soln (Cortisporin)","ml",2.00,10.00,,"000",,,
"77789","RUC","Pharmacy, Rx","SH058","proparacaine 0.5% ophth (Ophthaine, Alcaine)","ml",0.59,3.00,,"000",,,
"77789","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"000",,,
"77789","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"000",,,
"77790","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","10"
"77799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78012","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"xxx",,"CPT13","May 23"
"78012","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"xxx",,"CPT13","May 23"
"78013","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"xxx",,"CPT13","May 23"
"78014","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,,"xxx",,"CPT13","May 23"
"78015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78015","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78016","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78018","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78020","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"ZZZ",,"Jan04","25"
"78020","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"ZZZ",,"Jan04","25"
"78020","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"ZZZ",,"Jan04","25"
"78070","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT13","May 24"
"78070","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Gown, Drape","SB037","pillow case","item",0.30,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT13","May 24"
"78071","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT13","May 24"
"22586","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","22857","CPT13","CMS"
"22586","CMS","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,1.00,"090","22857","CPT13","CMS"
"78075","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,2.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78075","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78099","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78102","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78102","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78103","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78104","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78110","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Mar04","X"
"78110","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,1.00,0.00,"XXX",,"Mar04","X"
"78110","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,1.00,0.00,"XXX",,"Mar04","X"
"78110","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,1.00,0.00,"XXX",,"Mar04","X"
"78110","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Mar04","X"
"78110","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","X"
"78110","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,2.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,2.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,2.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,0.00,"XXX",,"Mar04","X"
"78111","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,1.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,1.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,1.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","X"
"78120","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,2.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,2.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,2.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,0.00,"XXX",,"Mar04","X"
"78121","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,2.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,2.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,2.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,0.00,"XXX",,"Mar04","X"
"78122","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,4.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,4.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,4.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,4.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,0.00,"XXX",,"Mar04","X"
"78130","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78135","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78135","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78140","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78185","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78190","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78191","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,0.00,"XXX",,"Mar04","X"
"78191","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,4.00,0.00,"XXX",,"Mar04","X"
"78191","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,4.00,0.00,"XXX",,"Mar04","X"
"78191","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,4.00,0.00,"XXX",,"Mar04","X"
"78191","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,4.00,0.00,"XXX",,"Mar04","X"
"78191","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,0.00,"XXX",,"Mar04","X"
"78191","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78195","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78195","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78199","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78201","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78201","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78202","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78205","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78206","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"Jan04","25"
"78206","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"Jan04","25"
"78206","RUC","Wound Care, Dressings","SG022","bandage, tubular, x-large (Surgilast)","yd",1.60,2.00,,"XXX",,"Jan04","25"
"78206","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,"Jan04","25"
"78206","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"Jan04","25"
"78206","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Jan04","25"
"78206","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,"Jan04","25"
"78206","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"Jan04","25"
"78215","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78215","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78216","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78226","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 21"
"78226","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 21"
"78227","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT12","May 21"
"78230","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78230","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78231","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78232","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78258","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78261","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78262","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78264","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78267","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"78268","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"78270","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Mar04","X"
"78270","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","X"
"78270","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78271","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,0.00,"XXX",,"Mar04","X"
"78271","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","X"
"78271","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78272","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,0.00,"XXX",,"Mar04","X"
"78272","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","X"
"78272","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78278","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78278","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78282","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"78282","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"78282","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"78282","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"78282","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"78282","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"78282","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,,
"78282","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"78282","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,2.00,,"XXX",,,
"78282","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,,
"78282","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"78290","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,3.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,6.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","25"
"78290","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78291","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78300","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78305","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78306","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,3.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,6.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","25"
"78315","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78320","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78350","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb06","20"
"78350","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,"Feb06","20"
"78350","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,0.00,"XXX",,"Feb06","20"
"78351","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,"Feb05","V"
"78399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78414","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"78414","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"78414","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"78414","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"XXX",,,
"78414","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,,
"78414","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,,
"78414","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"78414","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,,
"78414","RUC","Wound Care, Dressings","SG022","bandage, tubular, x-large (Surgilast)","yd",1.60,2.00,,"XXX",,,
"78414","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,6.00,,"XXX",,,
"78414","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,,
"78414","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,,
"78414","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,,
"78414","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,,
"78414","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"78414","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,,
"78414","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,,
"78414","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,,
"78428","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78428","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78445","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78451","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"CPT10","35"
"78451","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"CPT10","35"
"78452","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"CPT10","35"
"78452","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT10","35"
"78452","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,4.00,,"XXX",,"CPT10","35"
"78452","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT10","35"
"78452","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"CPT10","35"
"78452","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT10","35"
"78452","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT10","35"
"78452","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT10","35"
"78452","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT10","35"
"78452","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT10","35"
"78452","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT10","35"
"78452","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"CPT10","35"
"78452","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT10","35"
"78452","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,,"XXX",,"CPT10","35"
"78452","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,,"XXX",,"CPT10","35"
"78452","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT10","35"
"78452","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"CPT10","35"
"78452","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT10","35"
"78453","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"CPT10","35"
"78453","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"CPT10","35"
"78454","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"CPT10","35"
"78454","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT10","35"
"78454","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT10","35"
"78454","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT10","35"
"78454","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"CPT10","35"
"78454","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT10","35"
"78454","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT10","35"
"78454","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT10","35"
"78454","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT10","35"
"78454","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT10","35"
"78454","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT10","35"
"78454","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"CPT10","35"
"78454","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT10","35"
"78454","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,,"XXX",,"CPT10","35"
"78454","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,4.00,,"XXX",,"CPT10","35"
"78454","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT10","35"
"78454","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"CPT10","35"
"78454","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT10","35"
"78456","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,3.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,6.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","25"
"78456","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78457","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78458","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78459","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"78466","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78466","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78468","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78469","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78472","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78473","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78481","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Feb06","20"
"78481","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78483","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Feb06","20"
"78483","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Feb06","20"
"78491","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78492","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78494","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78494","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78496","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Jan04","25"
"78499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78579","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 22"
"78579","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 22"
"78580","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,,"XXX",,"CPT12","May 22"
"78582","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,,"XXX",,"CPT12","May 22"
"78597","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,,"XXX",,"CPT12","May 22"
"78598","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,,"XXX",,"CPT12","May 22"
"78599","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"Jan04","25"
"78600","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"Jan04","25"
"78600","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,"Jan04","25"
"78600","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"Jan04","25"
"78600","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"Jan04","25"
"78600","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Jan04","25"
"78600","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,,"XXX",,"CPT08","rv"
"78600","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,,"XXX",,"Jan04","25"
"78600","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,,"XXX",,"Jan04","25"
"78600","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"XXX",,"CPT08","rv"
"78601","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78601","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78605","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"XXX",,"Jan04","25"
"78605","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"CPT08","rv"
"78606","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78606","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"CPT08","rv"
"78606","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78607","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"Jan04","25"
"78607","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"Jan04","25"
"78607","RUC","Wound Care, Dressings","SG022","bandage, tubular, x-large (Surgilast)","yd",1.60,2.00,,"XXX",,"Jan04","25"
"78607","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,"Jan04","25"
"78607","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"Jan04","25"
"78607","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Jan04","25"
"78607","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,"Jan04","25"
"78607","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"Jan04","25"
"78608","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"Jan04","25"
"78609","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"Jan04","25"
"78610","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"CPT08","rv"
"78610","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78610","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,0.50,0.00,"XXX",,"CPT08","rv"
"78610","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78630","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,3.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,6.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,6.00,0.00,"XXX",,"Jan04","25"
"78635","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78645","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78647","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"Jan04","25"
"78647","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"Jan04","25"
"78647","RUC","Wound Care, Dressings","SG022","bandage, tubular, x-large (Surgilast)","yd",1.60,2.00,,"XXX",,"Jan04","25"
"78647","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,"Jan04","25"
"78647","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"Jan04","25"
"78647","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Jan04","25"
"78647","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,"Jan04","25"
"78647","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"Jan04","25"
"78650","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78650","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78660","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78699","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78700","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78700","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78701","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78707","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78708","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,4.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,4.00,0.00,"XXX",,"Jan04","25"
"78709","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,10.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78710","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78725","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,0.00,"XXX",,"Mar04","X"
"78725","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,3.00,0.00,"XXX",,"Mar04","X"
"78725","RUC","Hypodermic, IV","SC067","blood collection tube holder","item",0.16,3.00,0.00,"XXX",,"Mar04","X"
"78725","RUC","Hypodermic, IV","SC068","blood collection tube needle","item",0.14,3.00,0.00,"XXX",,"Mar04","X"
"78725","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,3.00,0.00,"XXX",,"Mar04","X"
"78725","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,6.00,0.00,"XXX",,"Mar04","X"
"78725","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"Mar04","X"
"78730","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"ZZZ",,"CPT07",
"78740","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,3.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"XXX",,"Apr06","J"
"78740","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"XXX",,"Apr06","J"
"78740","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78740","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78761","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"78800","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78800","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78801","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78802","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78803","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"Jan04","25"
"78803","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"Jan04","25"
"78803","RUC","Wound Care, Dressings","SG022","bandage, tubular, x-large (Surgilast)","yd",1.60,2.00,,"XXX",,"Jan04","25"
"78803","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,"Jan04","25"
"78803","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"Jan04","25"
"78803","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Jan04","25"
"78803","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,"Jan04","25"
"78803","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"Jan04","25"
"78804","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,2.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,2.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78804","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,2.00,0.00,"XXX",,"Jan04","25"
"78805","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Office Supply, Grocery","SK089","x-ray developer solution","oz",0.09,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Office Supply, Grocery","SK092","x-ray fixer solution","oz",0.08,1.00,0.00,"XXX",,"Jan04","25"
"78806","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,"Jan04","25"
"78807","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,"Jan04","25"
"78807","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"Jan04","25"
"78807","RUC","Wound Care, Dressings","SG022","bandage, tubular, x-large (Surgilast)","yd",1.60,2.00,,"XXX",,"Jan04","25"
"78807","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,"Jan04","25"
"78807","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"Jan04","25"
"78807","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Jan04","25"
"78807","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,"Jan04","25"
"78807","RUC","Office Supply, Grocery","SK037","film, x-ray 8in x 10in","item",0.46,2.00,,"XXX",,"Jan04","25"
"78808","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT09","23"
"78808","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,4.00,0.00,"XXX",,"CPT09","23"
"78811","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"78811","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"78811","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"78811","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"78811","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"78811","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,,
"78811","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"78811","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"78811","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"78811","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"78811","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"78811","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"78811","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,,
"78811","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,,
"78812","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"78812","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"78812","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"78812","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"78812","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"78812","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,,
"78812","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"78812","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"78812","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"78812","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"78812","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"78812","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"78812","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,,
"78812","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,,
"78813","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"78813","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"78813","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"78813","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"78813","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"78813","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,,
"78813","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"78813","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"78813","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"78813","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"78813","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"78813","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"78813","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,,
"78813","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,,
"78814","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"78814","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,,
"78814","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,,
"78814","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,,
"78814","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"78814","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"78814","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"78814","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"78814","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,,
"78814","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"78814","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"78814","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"78814","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"78814","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"78814","RUC","Pharmacy, NonRx","SJ069","test strip, glucose (blood test)","item",0.72,1.00,0.00,"XXX",,,
"78814","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"78814","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,1.00,0.00,"XXX",,,
"78814","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,,
"78815","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"78815","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,,
"78815","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,,
"78815","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,,
"78815","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"78815","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"78815","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"78815","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"78815","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,,
"78815","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"78815","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"78815","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"78815","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"78815","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"78815","RUC","Pharmacy, NonRx","SJ069","test strip, glucose (blood test)","item",0.72,1.00,0.00,"XXX",,,
"78815","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"78815","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX",,,
"78815","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,,
"78816","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"78816","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"78816","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"78816","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"78816","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"78816","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"XXX",,,
"78816","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"78816","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"78816","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"78816","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"78816","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"78816","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX",,,
"78816","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,5.00,0.00,"XXX",,,
"78816","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,0.00,"XXX",,,
"78999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"79005","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"79005","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"79005","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,,
"79101","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"79101","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,,
"79101","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,,
"79101","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,,
"79101","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,,
"79101","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"79101","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,,
"79101","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"79101","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"79101","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,,
"79101","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,,
"79101","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"79101","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,,
"79200","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,4.00,0.00,"XXX",,"Feb05",
"79200","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Feb05",
"79200","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"79200","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,"Feb05",
"79300","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Feb05",
"79300","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Feb05",
"79300","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"79300","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,"Feb05",
"79403","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"79403","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,,
"79403","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"79403","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"79403","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"79403","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,,
"79403","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,,
"79403","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"79403","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"XXX",,,
"79403","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,,
"79403","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,,
"79403","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"79403","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,5.00,,"XXX",,,
"79440","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Feb05",
"79440","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Feb05",
"79440","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,0.00,"XXX",,"Feb05",
"79445","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"79999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"80048","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80050","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"80051","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80053","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80055","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"80061","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80069","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80074","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"80076","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"80100","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80101","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80102","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80103","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80150","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80152","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80154","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80156","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80157","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80158","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80160","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80162","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80164","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80166","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80168","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80170","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80172","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80173","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80174","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80176","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80178","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80182","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80184","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80185","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80186","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80188","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80190","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80192","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80194","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80196","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80198","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80200","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80201","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80202","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80299","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80400","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80402","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80406","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80408","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80410","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80412","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80414","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80416","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80417","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80418","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80420","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80422","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80424","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80426","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80428","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80430","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80432","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80434","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80435","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80436","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80438","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80439","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80440","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"80500","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"80502","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"81000","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81001","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81002","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81003","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81005","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81007","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81015","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81020","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81025","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81050","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"81099","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82000","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82003","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82009","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82010","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82013","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82016","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82017","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82024","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82030","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82040","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82042","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82043","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82044","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82055","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82075","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82085","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82088","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82101","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82103","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82104","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82105","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82106","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82108","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82120","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82127","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82128","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82131","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82135","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82136","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82139","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82140","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82143","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82145","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82150","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82154","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82157","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82160","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82163","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82164","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82172","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82175","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82180","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82190","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82205","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82232","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82239","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82240","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82247","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82248","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82252","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82261","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82270","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82274","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82286","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82306","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82308","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82310","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82330","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82331","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82340","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82355","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82360","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82365","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82370","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82373","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82374","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82376","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82378","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82379","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82380","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82382","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82383","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82384","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82387","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82390","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82397","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82415","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82435","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82436","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82438","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82441","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82465","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82480","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82482","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82485","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82486","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82487","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82488","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82489","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82491","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82492","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82495","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82507","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82520","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82523","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82525","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82528","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82530","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82533","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82540","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82541","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82542","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82543","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82544","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82550","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82552","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82553","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82554","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82565","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82570","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82575","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82585","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82595","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82600","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82607","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82608","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82615","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82626","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82627","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82633","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82634","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82638","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82646","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82649","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82651","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82652","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82654","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82657","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82658","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82664","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82666","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82668","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82670","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82671","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82672","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82677","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82679","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82690","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82693","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82696","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82705","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82710","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82715","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82725","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82726","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82728","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82731","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82735","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82742","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82746","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82757","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82759","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82760","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82775","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82776","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82784","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82785","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82787","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82800","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82803","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82805","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82810","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82820","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82938","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82941","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82943","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82945","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82946","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82947","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82948","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82950","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82951","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82952","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82953","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82955","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82960","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82962","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82963","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82965","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82975","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82977","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82978","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82979","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82980","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"82985","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83001","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83002","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83003","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83008","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83010","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83012","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83013","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83014","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83015","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83018","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83020","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"83021","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83026","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83030","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83033","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83036","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83037","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83045","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83050","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83051","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83055","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83060","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83065","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83068","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83069","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83070","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83071","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83080","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83088","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83090","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83150","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83491","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83497","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83498","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83499","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83500","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83505","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83516","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83518","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83519","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83520","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83525","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83527","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83528","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83540","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83570","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83582","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83586","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83593","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83605","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83615","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83625","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83632","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83633","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83634","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83655","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83661","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83662","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83663","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83664","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83670","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83690","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83718","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83719","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83721","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83727","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83735","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83775","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83785","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83788","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83789","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83805","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83825","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83835","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83840","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83857","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83858","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83864","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83866","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83872","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83873","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83874","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83880","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83883","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83885","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83887","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83915","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83916","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83918","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83919","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83921","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83925","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83930","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83935","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83937","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83945","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83950","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83970","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83986","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"83992","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84022","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84030","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84035","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84060","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84061","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84066","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84075","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84078","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84080","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84081","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84085","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84087","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84100","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84105","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84106","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84110","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84119","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84120","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84126","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84127","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84132","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84133","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84134","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84135","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84138","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84140","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84143","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84144","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84146","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84150","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84152","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84153","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84154","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84155","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84160","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84165","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"84166","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"84181","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"84182","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"84202","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84203","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84206","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84207","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84210","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84220","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84228","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84233","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84234","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84235","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84238","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84244","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84252","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84255","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84260","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84270","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84275","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84285","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84295","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84302","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84305","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84307","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84311","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84315","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84375","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84376","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84377","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84378","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84379","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84392","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84402","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84403","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84425","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84430","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84432","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84436","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84437","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84439","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84442","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84443","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84445","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84446","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84449","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84450","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84460","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84466","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84478","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84479","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84480","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84481","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84482","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84484","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84485","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84488","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84490","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84510","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84512","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84520","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84525","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84540","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84545","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84550","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84560","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84577","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84578","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84580","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84583","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84585","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84586","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84588","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84590","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84591","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84597","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84600","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84620","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84630","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84681","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84702","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84703","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84830","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"84999","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85002","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85004","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85007","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85008","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85009","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85013","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85014","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85018","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85025","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85027","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85032","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85041","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85044","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85045","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85046","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85048","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85049","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85060","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"85097","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"85097","RUC","Hypodermic, IV","SC006","blood collection tube (Vacutainer)","item",0.20,1.00,,"XXX",,,
"85097","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"85097","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,"XXX",,,
"85097","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,4.00,,"XXX",,,
"85097","RUC","Lab","SL030","cover slip, glass","item",0.07,6.00,,"XXX",,,
"85097","RUC","Lab","SL080","immersion oil","ml",0.07,2.00,,"XXX",,,
"85097","RUC","Lab","SL085","label for microscope slides","item",0.02,6.00,,"XXX",,,
"85097","RUC","Lab","SL087","lens paper","item",0.02,1.00,,"XXX",,,
"85097","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,,"XXX",,,
"85097","RUC","Lab","SL108","pipette","item",0.03,1.00,,"XXX",,,
"85097","RUC","Lab","SL122","slide, microscope","item",0.05,6.00,,"XXX",,,
"85097","RUC","Lab","SL140","stain, Wright's Pack (per slide)","ml",0.04,1.00,,"XXX",,,
"85097","RUC","Lab","SL144","thrombin reagent (Thromboquik)","ml",2.73,0.50,,"XXX",,,
"85097","RUC","Infection Control","SM005","biohazard glass disposal box (per disposed slide)","item",0.13,1.00,,"XXX",,,
"85097","RUC","Infection Control","SM007","biohazard pipette container","item",1.88,0.10,,"XXX",,,
"85130","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85170","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85175","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85210","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85220","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85230","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85240","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85244","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85245","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85246","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85247","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85250","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85260","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85270","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85280","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85290","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85291","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85292","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85293","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85301","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85302","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85303","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85305","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85306","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85307","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85335","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85337","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85345","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85347","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85348","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85360","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85362","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85366","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85370","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85378","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85379","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85380","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85384","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85385","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85390","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"85396","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"85400","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85410","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85415","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85420","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85421","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85441","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85445","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85460","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85461","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85475","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85520","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85525","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85530","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85536","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85540","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85547","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85549","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85555","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85557","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85576","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"85597","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85610","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85611","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85612","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85613","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85635","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85651","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85652","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85660","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85670","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85675","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85705","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85730","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85732","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85810","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"85999","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86000","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86001","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86003","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86005","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86021","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86022","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86023","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86038","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86039","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86060","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86063","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86077","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86078","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86079","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86140","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86141","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86146","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86147","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86148","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86155","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86156","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86157","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86160","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86161","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86162","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86171","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86185","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86215","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86225","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86226","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86235","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86243","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86255","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86256","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86277","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86280","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86294","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86301","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86304","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86308","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86309","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86310","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86316","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86317","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86318","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86320","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86325","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86327","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86329","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86331","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86332","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86334","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86335","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"86336","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86337","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86340","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86341","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86343","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86344","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86353","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86359","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86360","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86361","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86376","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86378","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86382","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86384","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86403","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86406","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86430","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86431","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86485","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,,
"86485","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"86485","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"86485","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"86485","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,0.10,0.00,"XXX",,,
"86485","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"86486","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX","86490","CPT08",
"86486","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX","86490","CPT08",
"86486","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX","86490","CPT08",
"86486","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX","86490","CPT08",
"86486","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,0.10,0.00,"XXX","86490","CPT08",
"86486","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX","86490","CPT08",
"86490","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,,
"86490","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"86490","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"86490","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"86490","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,0.10,0.00,"XXX",,,
"86490","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"86510","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,,
"86510","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"86510","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"86510","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"86510","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,0.10,0.00,"XXX",,,
"86510","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"86580","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,,
"86580","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"86580","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"86580","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,,
"86580","RUC","Pharmacy, Rx","SH059","purified protein derivative (0.1ml per test) (PPD-Tubersol)","ml",17.33,0.10,0.00,"XXX",,,
"86580","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"86590","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86592","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86593","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86602","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86603","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86606","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86609","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86611","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86612","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86615","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86617","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86618","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86619","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86622","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86625","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86628","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86631","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86632","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86635","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86638","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86641","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86644","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86645","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86648","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86651","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86652","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86653","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86654","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86658","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86663","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86664","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86665","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86666","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86668","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86671","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86674","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86677","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86682","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86684","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86687","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86688","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86689","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86692","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86694","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86695","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86696","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86698","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86701","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86702","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86703","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86704","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86705","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86706","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86707","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86708","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86709","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86710","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86713","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86717","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86720","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86723","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86727","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86729","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86732","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86735","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86738","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86741","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86744","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86747","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86750","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86753","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86756","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86757","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86759","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86762","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86765","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86768","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86771","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86774","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86777","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86778","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86784","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86787","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86790","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86793","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86800","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86803","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86804","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86805","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86806","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86807","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86808","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86812","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86813","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86816","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86817","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86821","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86822","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86849","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86850","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86860","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86870","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86880","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86885","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86886","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86890","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86891","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86900","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86901","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86904","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86905","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86906","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86910","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"86911","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"86920","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86921","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86922","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86927","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86930","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86931","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86932","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86940","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86941","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86945","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86950","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86965","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86970","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86971","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86972","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86975","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86976","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86977","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86978","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86985","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"86999","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87001","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87003","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87015","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87040","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87045","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87070","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87071","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87073","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87075","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87076","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87081","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87084","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87086","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87088","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87101","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87102","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87103","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87106","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87107","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87109","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87110","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87116","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87118","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87140","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87143","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87147","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87149","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87152","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87158","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87164","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"87166","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87168","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87169","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87172","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87177","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87181","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87184","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87185","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87186","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87187","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87188","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87190","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87197","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87205","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87206","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87207","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"87210","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87220","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87230","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87250","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87252","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87253","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87254","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87255","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87260","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87265","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87267","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87270","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87271","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87272","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87273","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87274","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87275","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87276","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87277","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87278","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87279","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87280","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87281","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87283","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87285","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87290","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87299","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87301","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87320","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87324","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87327","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87328","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87332","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87335","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87336","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87337","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87338","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87339","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87340","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87341","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87350","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87380","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87385","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87390","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87391","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87400","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87420","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87425","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87427","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87430","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87449","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87450","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87451","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87470","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87471","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87472","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87475","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87476","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87477","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87480","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87481","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87482","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87485","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87486","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87487","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87490","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87491","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87492","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87495","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87496","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87497","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87510","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87511","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87512","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87515","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87516","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87517","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87520","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87521","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87522","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87525","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87526","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87527","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87528","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87529","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87530","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87531","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87532","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87533","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87534","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87535","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87536","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87537","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87538","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87539","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87540","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87541","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87542","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87550","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87551","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87552","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87555","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87556","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87557","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87560","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87561","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87562","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87580","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87581","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87582","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87590","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87591","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87592","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87620","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87621","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87622","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87650","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87651","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87652","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87797","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87798","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87799","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87800","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87801","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87802","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87803","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87804","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87810","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87850","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87880","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87899","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87901","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87902","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87903","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87904","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"87999","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88000","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88005","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88007","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88012","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88014","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88016","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88020","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88025","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88027","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88028","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88029","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88036","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88037","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88040","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88045","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88099","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"88104","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88104","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88104","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88104","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,4.00,,"XXX",,,
"88104","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88104","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,8.00,,"XXX",,,
"88104","RUC","Lab","SL030","cover slip, glass","item",0.07,4.00,,"XXX",,,
"88104","RUC","Lab","SL064","filter paper, qualitative, <15.0cm","item",0.12,1.00,,"XXX",,,
"88104","RUC","Lab","SL071","fixative spray","ml",0.04,9.60,,"XXX",,,
"88104","RUC","Lab","SL085","label for microscope slides","item",0.02,4.00,,"XXX",,,
"88104","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,,"XXX",,,
"88104","RUC","Lab","SL122","slide, microscope","item",0.05,4.00,,"XXX",,,
"88104","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,1.00,,"XXX",,,
"88104","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,1.00,,"XXX",,,
"88106","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88106","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88106","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"88106","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88106","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88106","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,8.00,,"XXX",,,
"88106","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,,
"88106","RUC","Lab","SL041","cytology, specimen filter (Transcyt)","item",4.15,2.00,,"XXX",,,
"88106","RUC","Lab","SL042","cytology, transport prefilled container","item",0.61,1.00,,"XXX",,,
"88106","RUC","Lab","SL043","cytology, vacuum grease","oz",2.83,0.20,,"XXX",,,
"88106","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88106","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88106","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.40,,"XXX",,,
"88106","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,1.00,,"XXX",,,
"88106","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,1.00,,"XXX",,,
"88106","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88106","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,5.00,,"XXX",,,
"88106","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,5.00,,"XXX",,,
"88108","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88108","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88108","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88108","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88108","RUC","Lab","SL024","centrifuge tube","item",0.05,1.00,,"XXX",,,
"88108","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,8.00,,"XXX",,,
"88108","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,,
"88108","RUC","Lab","SL039","cytology, lysing soln (CytoLyt)","ml",0.03,3.00,,"XXX",,,
"88108","RUC","Lab","SL040","cytology, preservative and vial (Preserv-cyt)","item",0.80,1.00,,"XXX",,,
"88108","RUC","Lab","SL041","cytology, specimen filter (Transcyt)","item",4.15,2.00,,"XXX",,,
"88108","RUC","Lab","SL042","cytology, transport prefilled container","item",0.61,1.00,,"XXX",,,
"88108","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88108","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88108","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.40,,"XXX",,,
"88108","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,2.00,,"XXX",,,
"88108","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,1.00,,"XXX",,,
"88108","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88108","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,5.00,,"XXX",,,
"88108","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,5.00,,"XXX",,,
"88112","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88112","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88112","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88112","RUC","Lab","SL024","centrifuge tube","item",0.05,1.00,,"XXX",,,
"88112","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,8.00,,"XXX",,,
"88112","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,,
"88112","RUC","Lab","SL039","cytology, lysing soln (CytoLyt)","ml",0.03,30.00,,"XXX",,,
"88112","RUC","Lab","SL040","cytology, preservative and vial (Preserv-cyt)","item",0.80,1.00,,"XXX",,,
"88112","RUC","Lab","SL041","cytology, specimen filter (Transcyt)","item",4.15,2.00,,"XXX",,,
"88112","RUC","Lab","SL042","cytology, transport prefilled container","item",0.61,1.00,,"XXX",,,
"88112","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88112","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88112","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.40,,"XXX",,,
"88112","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,2.00,,"XXX",,,
"88112","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,1.00,,"XXX",,,
"88112","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88112","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,1.00,,"XXX",,,
"88112","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,5.00,,"XXX",,,
"88112","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,1.00,,"XXX",,,
"88112","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,,"XXX",,,
"88120","RUC","Kit, Pack, Tray","SA104","ThinPrep UroCyte Urine Collection Kit","kit",7.00,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Kit, Pack, Tray","SA105","UroVysion test kit","item",176.80,1.70,,"XXX",,"CPT11","15"
"88120","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,,"XXX",,"CPT11","15"
"88120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Pharmacy, NonRx","SJ070","rubber cement","ml",0.12,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL024","centrifuge tube","item",0.05,3.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL039","cytology, lysing soln (CytoLyt)","ml",0.03,30.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL040","cytology, preservative and vial (Preserv-cyt)","item",0.80,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,4.20,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL072","formalin","ml",9.0e-03,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL080","immersion oil","ml",0.07,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL179","1.0N NaOH","ml",0.48,3.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL181","pipette tips, sterile","item",0.06,2.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,33.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,66.70,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL191","ethanol, 85%","ml",3.3e-03,33.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL244","water, de-ionized","ml",0.01,3.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL253","Non-Gyn Filter unit","item",4.44,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL254","0.45 m pore filtration unit","item",10.13,0.70,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL255","12-well slides","item",0.84,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL256","ThinPrep  UroCyte filter","item",8.50,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL257","Humidity cards","item",0.34,0.70,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL258","Control slides","kit",228.00,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL259","Bleach cleaning wipe","item",1.04,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL260","Fresh Fixative (3:1, methanol: acetic acid)","item",0.08,47.50,,"XXX",,"CPT11","15"
"88120","RUC","Lab","SL261","FISH pre-treatment kit","kit",549.00,0.30,,"XXX",,"CPT11","15"
"88120","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,1.00,,"XXX",,"CPT11","15"
"88120","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Kit, Pack, Tray","SA104","ThinPrep UroCyte Urine Collection Kit","kit",7.00,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Kit, Pack, Tray","SA105","UroVysion test kit","item",176.80,1.30,,"XXX",,"CPT11","15"
"88121","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.50,,"XXX",,"CPT11","15"
"88121","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.50,,"XXX",,"CPT11","15"
"88121","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.50,,"XXX",,"CPT11","15"
"88121","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Pharmacy, NonRx","SJ070","rubber cement","ml",0.12,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL024","centrifuge tube","item",0.05,3.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL039","cytology, lysing soln (CytoLyt)","ml",0.03,30.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL040","cytology, preservative and vial (Preserv-cyt)","item",0.80,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,2.10,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL072","formalin","ml",9.0e-03,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL080","immersion oil","ml",0.07,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL179","1.0N NaOH","ml",0.48,1.70,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL181","pipette tips, sterile","item",0.06,1.84,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,16.70,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,33.30,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL191","ethanol, 85%","ml",3.3e-03,16.70,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL244","water, de-ionized","ml",0.01,1.50,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL253","Non-Gyn Filter unit","item",4.44,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL254","0.45 m pore filtration unit","item",10.13,0.30,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL255","12-well slides","item",0.84,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL256","ThinPrep  UroCyte filter","item",8.50,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL257","Humidity cards","item",0.34,0.30,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL258","Control slides","kit",228.00,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL259","Bleach cleaning wipe","item",1.04,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL260","Fresh Fixative (3:1, methanol: acetic acid)","item",0.08,47.50,,"XXX",,"CPT11","15"
"88121","RUC","Lab","SL261","FISH pre-treatment kit","kit",549.00,0.20,,"XXX",,"CPT11","15"
"88121","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,1.00,,"XXX",,"CPT11","15"
"88121","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,0.50,,"XXX",,"CPT11","15"
"88125","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,4.00,,"XXX",,,
"88125","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88125","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,4.00,,"XXX",,,
"88125","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,,
"88125","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88125","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,,"XXX",,,
"88125","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,1.00,,"XXX",,,
"88125","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88125","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,1.00,,"XXX",,,
"88130","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88140","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88141","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","W"
"88142","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88143","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88147","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88148","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88150","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX","88151",,
"88150","RUC","Accessory, Procedure","SD040","cytology, brush","item",0.20,1.00,,"XXX","88151",,
"88150","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,4.00,,"XXX","88151",,
"88150","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX","88151",,
"88150","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"XXX","88151",,
"88150","RUC","Lab","SL071","fixative spray","ml",0.04,1.00,,"XXX","88151",,
"88150","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX","88151",,
"88150","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.60,,"XXX","88151",,
"88150","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,,"XXX","88151",,
"88150","RUC","Lab","SL137","stain, PAP EA-50","ml",0.03,3.00,,"XXX","88151",,
"88152","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88153","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88154","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88155","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88160","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88160","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88160","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88160","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88160","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,16.00,,"XXX",,,
"88160","RUC","Lab","SL030","cover slip, glass","item",0.07,4.00,,"XXX",,,
"88160","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88160","RUC","Lab","SL071","fixative spray","ml",0.04,0.80,,"XXX",,,
"88160","RUC","Lab","SL085","label for microscope slides","item",0.02,4.00,,"XXX",,,
"88160","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.80,,"XXX",,,
"88160","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,1.00,,"XXX",,,
"88160","RUC","Lab","SL122","slide, microscope","item",0.05,4.00,,"XXX",,,
"88160","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,1.00,,"XXX",,,
"88160","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,1.00,,"XXX",,,
"88161","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88161","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88161","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88161","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88161","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,16.00,,"XXX",,,
"88161","RUC","Lab","SL030","cover slip, glass","item",0.07,4.00,,"XXX",,,
"88161","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88161","RUC","Lab","SL071","fixative spray","ml",0.04,0.80,,"XXX",,,
"88161","RUC","Lab","SL085","label for microscope slides","item",0.02,4.00,,"XXX",,,
"88161","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.80,,"XXX",,,
"88161","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,1.00,,"XXX",,,
"88161","RUC","Lab","SL122","slide, microscope","item",0.05,4.00,,"XXX",,,
"88161","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,1.00,,"XXX",,,
"88161","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,1.00,,"XXX",,,
"88162","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88162","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88162","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88162","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88162","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,28.00,,"XXX",,,
"88162","RUC","Lab","SL030","cover slip, glass","item",0.07,7.00,,"XXX",,,
"88162","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88162","RUC","Lab","SL071","fixative spray","ml",0.04,1.00,,"XXX",,,
"88162","RUC","Lab","SL085","label for microscope slides","item",0.02,7.00,,"XXX",,,
"88162","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.40,,"XXX",,,
"88162","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,2.00,,"XXX",,,
"88162","RUC","Lab","SL122","slide, microscope","item",0.05,7.00,,"XXX",,,
"88162","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,2.00,,"XXX",,,
"88162","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,15.00,,"XXX",,,
"88164","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88165","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88166","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88167","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88172","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT11","16"
"88172","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"XXX",,"CPT11","16"
"88172","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,0.00,"XXX",,"CPT11","16"
"88172","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,0.00,"XXX",,"CPT11","16"
"88172","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX",,"CPT11","16"
"88173","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"88173","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88173","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88173","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88173","RUC","Lab","SL024","centrifuge tube","item",0.05,1.00,,"XXX",,,
"88173","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,36.00,,"XXX",,,
"88173","RUC","Lab","SL030","cover slip, glass","item",0.07,9.00,,"XXX",,,
"88173","RUC","Lab","SL039","cytology, lysing soln (CytoLyt)","ml",0.03,3.00,,"XXX",,,
"88173","RUC","Lab","SL040","cytology, preservative and vial (Preserv-cyt)","item",0.80,1.00,,"XXX",,,
"88173","RUC","Lab","SL041","cytology, specimen filter (Transcyt)","item",4.15,1.00,,"XXX",,,
"88173","RUC","Lab","SL042","cytology, transport prefilled container","item",0.61,1.00,,"XXX",,,
"88173","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,2.00,,"XXX",,,
"88173","RUC","Lab","SL071","fixative spray","ml",0.04,1.80,,"XXX",,,
"88173","RUC","Lab","SL085","label for microscope slides","item",0.02,9.00,,"XXX",,,
"88173","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.80,,"XXX",,,
"88173","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,2.00,,"XXX",,,
"88173","RUC","Lab","SL121","slide specimen mailer (1-5 microscope slides)","item",0.46,2.00,,"XXX",,,
"88173","RUC","Lab","SL122","slide, microscope","item",0.05,9.00,,"XXX",,,
"88173","RUC","Lab","SL138","stain, PAP toluidine blue O","ml",0.08,25.00,,"XXX",,,
"88173","RUC","Lab","SL139","stain, quick differential (5ml per slide)","ml",0.06,2.00,,"XXX",,,
"88174","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88175","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88177","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"ZZZ",,"CPT11","16"
"88177","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,0.00,"ZZZ",,"CPT11","16"
"88182","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"XXX",,,
"88182","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88182","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,5.00,,"XXX",,,
"88182","RUC","Lab","SL021","calibration beads (each test)","item",9.62,,,"XXX",,,
"88182","RUC","Lab","SL024","centrifuge tube","item",0.05,2.00,,"XXX",,,
"88182","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,4.00,,"XXX",,,
"88182","RUC","Lab","SL066","filter, nylon mesh (55mm)","item",0.56,1.00,,"XXX",,,
"88182","RUC","Lab","SL084","Isoton II diluent","ml",2.0e-03,5.00,,"XXX",,,
"88182","RUC","Lab","SL101","Pepsin","gm",34.60,,,"XXX",,,
"88182","RUC","Lab","SL110","pipette tip (blue-yellow)","item",0.04,10.00,,"XXX",,,
"88182","RUC","Lab","SL115","propidium iodide","ml",5.07,1.00,,"XXX",,,
"88182","RUC","Lab","SL118","R-Nase One","unit",0.07,,,"XXX",,,
"88182","RUC","Lab","SL141","stain, Wright's soln","ml",0.21,0.30,,"XXX",,,
"88184","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,3.00,,"XXX",,,
"88184","RUC","Lab","SL021","calibration beads (each test)","item",9.62,1.00,,"XXX",,,
"88184","RUC","Lab","SL024","centrifuge tube","item",0.05,4.00,,"XXX",,,
"88184","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX",,,
"88184","RUC","Lab","SL084","Isoton II diluent","ml",2.0e-03,5.00,,"XXX",,,
"88184","RUC","Lab","SL089","lysing reagent (FACS)","ml",4.48,14.00,,"XXX",,,
"88184","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.20,,"XXX",,,
"88184","RUC","Lab","SL099","paraformaldehyde","gm",0.07,0.50,,"XXX",,,
"88184","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,20.00,,"XXX",,,
"88184","RUC","Lab","SL110","pipette tip (blue-yellow)","item",0.04,2.00,,"XXX",,,
"88184","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,,"XXX",,,
"88184","RUC","Lab","SL141","stain, Wright's soln","ml",0.21,0.30,,"XXX",,,
"88184","RUC","Lab","SL186","antibody, flow cytometry (each test)","item",8.50,1.00,,"XXX",,,
"88185","RUC","Lab","SL024","centrifuge tube","item",0.05,4.00,,"XXX",,,
"88185","RUC","Lab","SL084","Isoton II diluent","ml",2.0e-03,5.00,,"XXX",,,
"88185","RUC","Lab","SL089","lysing reagent (FACS)","ml",4.48,14.00,,"XXX",,,
"88185","RUC","Lab","SL099","paraformaldehyde","gm",0.07,0.50,,"XXX",,,
"88185","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,20.00,,"XXX",,,
"88185","RUC","Lab","SL110","pipette tip (blue-yellow)","item",0.04,2.00,,"XXX",,,
"88185","RUC","Lab","SL186","antibody, flow cytometry (each test)","item",8.50,1.00,,"XXX",,,
"88187","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"88188","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"88189","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"88199","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"88230","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88233","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88235","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88237","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88239","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88240","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88241","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88245","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88248","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88249","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88261","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88262","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88263","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88264","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88267","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88269","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88271","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88272","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88273","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88274","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88275","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88280","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88283","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88285","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88289","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"88291","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"88299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"88300","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,,,"CPT13","Mar 11"
"88300","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.10,,,,"CPT13","Mar 11"
"88300","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.10,,,,"CPT13","Mar 11"
"88300","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,0.10,,,,"CPT13","Mar 11"
"88300","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,,,,"CPT13","Mar 11"
"88300","RUC","Lab","SL020","bleach","ml",1.0e-03,10.00,,,,"CPT13","Mar 11"
"88300","RUC","Lab","SL034","cup, biopsy-specimen 86oz","item",1.64,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,,,"CPT13","Mar 11"
"88302","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.10,,,,"CPT13","Mar 11"
"88302","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.10,,,,"CPT13","Mar 11"
"88302","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,0.10,,,,"CPT13","Mar 11"
"88302","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,0.10,,,,"CPT13","Mar 11"
"88302","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,,,"CPT13","Mar 11"
"88302","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL020","bleach","ml",1.0e-03,10.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL058","embedding cassette","item",0.15,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL060","embedding mold","item",0.14,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL061","embedding paraffin","kg",5.36,8.0e-03,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL063","eosin y","gm",0.80,4.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,50.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,14.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.10,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,0.10,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,16.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL151","xylenes solvent","ml",0.01,30.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,30.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,4.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,18.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL468","Paraffin repel","ml",0.18,1.00,,,,"CPT13","Mar 11"
"88302","RUC","Lab","SL469","Clarifier","ml",5.0e-03,2.00,,,,"CPT13","Mar 11"
"88302","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,5.00,,,,"CPT13","Mar 11"
"88302","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,1.00,,,,"CPT13","Mar 11"
"88304","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.10,,,,"CPT13","Mar 11"
"88304","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.10,,,,"CPT13","Mar 11"
"88304","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,0.20,,,,"CPT13","Mar 11"
"88304","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,,,"CPT13","Mar 11"
"88304","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,0.10,,,,"CPT13","Mar 11"
"88304","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,,,"CPT13","Mar 11"
"88304","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL020","bleach","ml",1.0e-03,10.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL058","embedding cassette","item",0.15,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL060","embedding mold","item",0.14,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL061","embedding paraffin","kg",5.36,0.01,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL063","eosin y","gm",0.80,8.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,100.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,28.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.10,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,0.20,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,32.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL151","xylenes solvent","ml",0.01,60.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,60.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,8.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,36.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL468","Paraffin repel","ml",0.18,1.00,,,,"CPT13","Mar 11"
"88304","RUC","Lab","SL469","Clarifier","ml",5.0e-03,4.00,,,,"CPT13","Mar 11"
"88304","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,10.00,,,,"CPT13","Mar 11"
"88304","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,1.00,,,,"CPT13","Mar 11"
"88305","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,,,"CPT13","Mar 11"
"88305","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.10,,,,"CPT13","Mar 11"
"88305","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.10,,,,"CPT13","Mar 11"
"88305","RUC","Accessory, Procedure","SD005","biopsy sponge (Histo-Prep)","item",0.05,2.00,,,,"CPT13","Mar 11"
"88305","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,0.20,,,,"CPT13","Mar 11"
"88305","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,,,"CPT13","Mar 11"
"88305","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,0.10,,,,"CPT13","Mar 11"
"88305","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,,,"CPT13","Mar 11"
"88305","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,1.00,,,,"CPT13","Mar 11"
"88305","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL020","bleach","ml",1.0e-03,10.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL030","cover slip, glass","item",0.07,6.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL058","embedding cassette","item",0.15,2.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL060","embedding mold","item",0.14,2.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL061","embedding paraffin","kg",5.36,5.0e-03,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL063","eosin y","gm",0.80,8.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,50.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,28.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.20,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL085","label for microscope slides","item",0.02,6.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,0.20,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL122","slide, microscope","item",0.05,6.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,32.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL151","xylenes solvent","ml",0.01,60.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,60.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,8.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,36.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL468","Paraffin repel","ml",0.18,1.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL469","Clarifier","ml",5.0e-03,4.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL470","Marking Dyes","ml",0.38,3.00,,,,"CPT13","Mar 11"
"88305","RUC","Lab","SL471","Q-tip","each",0.21,3.00,,,,"CPT13","Mar 11"
"88305","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,5.00,,,,"CPT13","Mar 11"
"88305","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,2.00,,,,"CPT13","Mar 11"
"88307","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,,,"CPT13","Mar 11"
"88307","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.10,,,,"CPT13","Mar 11"
"88307","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.10,,,,"CPT13","Mar 11"
"88307","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.20,,,,"CPT13","Mar 11"
"88307","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,,,,"CPT13","Mar 11"
"88307","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,0.10,,,,"CPT13","Mar 11"
"88307","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,,,,"CPT13","Mar 11"
"88307","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,5.00,,,,"CPT13","Mar 11"
"88307","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,8.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL020","bleach","ml",1.0e-03,10.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL030","cover slip, glass","item",0.07,12.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL034","cup, biopsy-specimen 86oz","item",1.64,1.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL058","embedding cassette","item",0.15,12.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL060","embedding mold","item",0.14,12.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL061","embedding paraffin","kg",5.36,0.09,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL063","eosin y","gm",0.80,48.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,500.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,170.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.20,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL085","label for microscope slides","item",0.02,12.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,1.20,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,4.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL122","slide, microscope","item",0.05,12.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,192.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL151","xylenes solvent","ml",0.01,360.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,360.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,48.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,216.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL468","Paraffin repel","ml",0.18,2.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL469","Clarifier","ml",5.0e-03,24.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL470","Marking Dyes","ml",0.38,5.00,,,,"CPT13","Mar 11"
"88307","RUC","Lab","SL471","Q-tip","each",0.21,3.00,,,,"CPT13","Mar 11"
"88307","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,15.00,,,,"CPT13","Mar 11"
"88307","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,15.00,,,,"CPT13","Mar 11"
"88309","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,,,"CPT13","Mar 11"
"88309","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.10,,,,"CPT13","Mar 11"
"88309","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.10,,,,"CPT13","Mar 11"
"88309","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.80,,,,"CPT13","Mar 11"
"88309","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,3.00,,,,"CPT13","Mar 11"
"88309","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,0.10,,,,"CPT13","Mar 11"
"88309","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,,,"CPT13","Mar 11"
"88309","RUC","Pharmacy, Rx","SH001","acetic acid 5%","ml",0.01,3.00,,,,"CPT13","Mar 11"
"88309","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,10.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL020","bleach","ml",1.0e-03,10.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL030","cover slip, glass","item",0.07,18.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL058","embedding cassette","item",0.15,18.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL060","embedding mold","item",0.14,18.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL061","embedding paraffin","kg",5.36,0.14,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL063","eosin y","gm",0.80,72.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,750.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,252.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.20,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL085","label for microscope slides","item",0.02,18.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,1.80,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,6.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL122","slide, microscope","item",0.05,18.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,288.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL151","xylenes solvent","ml",0.01,540.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,540.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,72.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,324.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL468","Paraffin repel","ml",0.18,2.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL469","Clarifier","ml",5.0e-03,36.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL470","Marking Dyes","ml",0.38,3.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL471","Q-tip","each",0.21,1.00,,,,"CPT13","Mar 11"
"88309","RUC","Lab","SL472","Specimen containter","item",1.75,1.00,,,,"CPT13","Mar 11"
"88309","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,15.00,,,,"CPT13","Mar 11"
"88309","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,20.00,,,,"CPT13","Mar 11"
"88311","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88311","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"XXX",,,
"88311","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"XXX",,,
"88311","RUC","Lab","SL045","decalcifier solution","ml",0.01,40.00,,"XXX",,,
"88311","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX",,,
"88312","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,5.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,5.24,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL020","bleach","ml",1.0e-03,30.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL112","positive control slide","item",11.80,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL130","spatula (pathology)","item",0.71,4.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL151","xylenes solvent","ml",0.01,50.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,255.00,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL264","uranyl nitrate","oz",8.30,1.69,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL265","hydroquinone","gm",7.28,0.50,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL266","gum mastic","gm",1.02,1.25,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL267","silver nitrate","gm",2.88,0.52,,"XXX",,"CPT12","May 25"
"88312","RUC","Lab","SL273","weighing boat","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88312","RUC",,"SM037",,,,2.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Kit, Pack, Tray","SA110","Congo Red kits","test",4.18,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,2.36,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL020","bleach","ml",1.0e-03,30.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL077","hematoxylin reagent","ml",0.32,25.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL112","positive control slide","item",11.80,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL128","sodium hydroxide","gm",0.06,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL130","spatula (pathology)","item",0.71,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL151","xylenes solvent","ml",0.01,50.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,235.00,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL229","HCl, 1% hydrochloric acid","cc",0.15,0.25,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL268","ammonium hydroxide","ml",0.08,0.50,,"XXX",,"CPT12","May 25"
"88313","RUC","Lab","SL273","weighing boat","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88313","RUC",,"SM037",,,,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Hypodermic, IV","SC095","syringe filter","item",2.04,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,500.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL020","bleach","ml",1.0e-03,30.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL065","filter paper, qualitative, 18.5cm","item",0.34,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL077","hematoxylin reagent","ml",0.32,25.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL091","methylbutane (Isopentane)","ml",0.02,5.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.50,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL112","positive control slide","item",11.80,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL183","slide, organosilane coated","item",0.37,2.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,125.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL268","ammonium hydroxide","ml",0.08,0.50,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL271","10% Gum Tragacanth/OCT","oz",1.99,0.06,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL272","cork disc (5 mm thick 15 mm diameter)","item",0.54,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL273","weighing boat","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88314","RUC","Lab","SL274","Oil Red O","ml",0.52,0.25,,"XXX",,"CPT12","May 25"
"88319","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,400.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Pharmacy, Rx","SH099",".9% sodium chloride","ml",0.01,1.10,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL001","acetone","ml",0.01,112.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL020","bleach","ml",1.0e-03,30.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL091","methylbutane (Isopentane)","ml",0.02,5.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.50,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL104","phosphate buffer, dibasic","gm",0.04,85.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL105","phosphate buffer, monobasic","gm",0.03,15.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,3.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL151","xylenes solvent","ml",0.01,30.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL183","slide, organosilane coated","item",0.37,1.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,160.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL269","NADH","mg",0.10,3.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL270","Nitro blue tetrazolium","mg",0.16,8.00,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL271","10% Gum Tragacanth/OCT","oz",1.99,0.06,,"XXX",,"CPT12","May 25"
"88319","RUC","Lab","SL273","weighing boat","item",0.19,1.00,,"XXX",,"CPT12","May 25"
"88321","RUC","Lab","SL085","label for microscope slides","item",0.02,10.00,,"XXX",,,
"88323","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88323","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"88323","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88323","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,572.00,,"XXX",,,
"88323","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88323","RUC","Lab","SL030","cover slip, glass","item",0.07,12.00,,"XXX",,,
"88323","RUC","Lab","SL063","eosin y","gm",0.80,2.40,,"XXX",,,
"88323","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.80,,"XXX",,,
"88323","RUC","Lab","SL085","label for microscope slides","item",0.02,20.00,,"XXX",,,
"88323","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,3.00,,"XXX",,,
"88323","RUC","Lab","SL122","slide, microscope","item",0.05,12.00,,"XXX",,,
"88323","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,4.80,,"XXX",,,
"88323","RUC","Lab","SL149","waterbath reagent","ml",2.0e-03,15.00,,"XXX",,,
"88323","RUC","Lab","SL151","xylenes solvent","ml",0.01,500.00,,"XXX",,,
"88323","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,6.00,,"XXX",,,
"88325","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88325","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"88325","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88325","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,572.00,,"XXX",,,
"88325","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88325","RUC","Lab","SL030","cover slip, glass","item",0.07,12.00,,"XXX",,,
"88325","RUC","Lab","SL063","eosin y","gm",0.80,2.40,,"XXX",,,
"88325","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.80,,"XXX",,,
"88325","RUC","Lab","SL085","label for microscope slides","item",0.02,20.00,,"XXX",,,
"88325","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,3.00,,"XXX",,,
"88325","RUC","Lab","SL122","slide, microscope","item",0.05,12.00,,"XXX",,,
"88325","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,4.80,,"XXX",,,
"88325","RUC","Lab","SL149","waterbath reagent","ml",2.0e-03,15.00,,"XXX",,,
"88325","RUC","Lab","SL151","xylenes solvent","ml",0.01,500.00,,"XXX",,,
"88325","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,6.00,,"XXX",,,
"88329","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,"XXX",,,
"88329","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"88329","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88329","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"XXX",,,
"88329","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"XXX",,,
"88329","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,,"XXX",,,
"88329","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88331","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,"XXX",,,
"88331","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88331","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"XXX",,,
"88331","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88331","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"XXX",,,
"88331","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,,"XXX",,,
"88331","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,,"XXX",,,
"88331","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,,
"88331","RUC","Lab","SL058","embedding cassette","item",0.15,1.00,,"XXX",,,
"88331","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.10,,"XXX",,,
"88331","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88331","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.20,,"XXX",,,
"88331","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,2.00,,"XXX",,,
"88331","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88331","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,1.00,,"XXX",,,
"88331","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,1.00,,"XXX",,,
"88332","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,,"XXX",,,
"88332","RUC","Lab","SL058","embedding cassette","item",0.15,1.00,,"XXX",,,
"88332","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.10,,"XXX",,,
"88332","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88332","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.20,,"XXX",,,
"88332","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,2.00,,"XXX",,,
"88332","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88332","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,1.00,,"XXX",,,
"88332","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,1.00,,"XXX",,,
"88333","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,0.00,"XXX","88170","RUC05",
"88333","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,0.00,"XXX",,"RUC05",
"88333","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"XXX",,"RUC05",
"88333","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"XXX",,"RUC05",
"88333","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,0.00,"XXX",,"RUC05",
"88333","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX","88170","RUC05",
"88333","RUC","Lab","SL030","cover slip, glass","item",0.07,10.00,0.00,"XXX",,"RUC05",
"88333","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,0.00,"XXX",,"RUC05",
"88333","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.20,0.00,"XXX",,"RUC05",
"88333","RUC","Lab","SL122","slide, microscope","item",0.05,10.00,0.00,"XXX",,"RUC05",
"88333","RUC","Lab","SL231","kit, stain, H&E","kit",98.02,0.10,0.00,"XXX","RUC05","RUC05",
"88333","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,1.00,0.00,"XXX",,"RUC05",
"88334","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,0.00,"XXX","88170","RUC05",
"88334","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"XXX",,"RUC05",
"88334","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX","88170","RUC05",
"88334","RUC","Lab","SL030","cover slip, glass","item",0.07,10.00,0.00,"XXX",,"RUC05",
"88334","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,0.00,"XXX",,"RUC05",
"88334","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.20,0.00,"XXX",,"RUC05",
"88334","RUC","Lab","SL122","slide, microscope","item",0.05,10.00,0.00,"XXX",,"RUC05",
"88334","RUC","Lab","SL231","kit, stain, H&E","kit",98.02,0.10,0.00,"XXX","RUC05","RUC05",
"88334","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,1.00,0.00,"XXX",,"RUC05",
"88342","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88342","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"88342","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88342","RUC","Lab","SL002","AEC buffer","ml",0.65,2.00,,"XXX",,,
"88342","RUC","Lab","SL003","AEC chromogen","ml",18.66,0.12,,"XXX",,,
"88342","RUC","Lab","SL011","antibody HMB-45","ml",26.60,0.12,,"XXX",,,
"88342","RUC","Lab","SL017","background block","ml",0.24,5.00,,"XXX",,,
"88342","RUC","Lab","SL019","biotinylated link (mouse, rabbit)","ml",1.99,0.40,,"XXX",,,
"88342","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,16.00,,"XXX",,,
"88342","RUC","Lab","SL030","cover slip, glass","item",0.07,4.00,,"XXX",,,
"88342","RUC","Lab","SL077","hematoxylin reagent","ml",0.32,8.00,,"XXX",,,
"88342","RUC","Lab","SL085","label for microscope slides","item",0.02,4.00,,"XXX",,,
"88342","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,,"XXX",,,
"88342","RUC","Lab","SL102","peroxide block","ml",0.04,50.00,,"XXX",,,
"88342","RUC","Lab","SL106","phosphate buffered saline packet (Zeus)","item",2.09,1.00,,"XXX",,,
"88342","RUC","Lab","SL112","positive control slide","item",11.80,1.00,,"XXX",,,
"88342","RUC","Lab","SL122","slide, microscope","item",0.05,4.00,,"XXX",,,
"88342","RUC","Lab","SL142","streptavidin label","ml",3.98,0.40,,"XXX",,,
"88342","RUC","Lab","SL145","tissue revival soln","ml",0.03,50.00,,"XXX",,,
"88346","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,,"XXX",,,
"88346","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88346","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88346","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88346","RUC","Lab","SL001","acetone","ml",0.01,9.90,,"XXX",,,
"88346","RUC","Lab","SL009","antibody C3","ml",52.05,0.11,,"XXX",,,
"88346","RUC","Lab","SL012","antibody IgA FITC","ml",71.40,0.11,,"XXX",,,
"88346","RUC","Lab","SL013","antibody IgG FITC","ml",62.20,0.11,,"XXX",,,
"88346","RUC","Lab","SL015","antibody IgM FITC","ml",62.20,0.11,,"XXX",,,
"88346","RUC","Lab","SL030","cover slip, glass","item",0.07,3.00,,"XXX",,,
"88346","RUC","Lab","SL069","fixative (Michel's)","ml",0.15,25.00,,"XXX",,,
"88346","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.33,,"XXX",,,
"88346","RUC","Lab","SL085","label for microscope slides","item",0.02,3.00,,"XXX",,,
"88346","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,,"XXX",,,
"88346","RUC","Lab","SL096","negative control (anti-albumin)","ml",41.75,0.10,,"XXX",,,
"88346","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,1.00,,"XXX",,,
"88346","RUC","Lab","SL106","phosphate buffered saline packet (Zeus)","item",2.09,1.00,,"XXX",,,
"88346","RUC","Lab","SL117","protein blocking agent","ml",0.89,1.00,,"XXX",,,
"88346","RUC","Lab","SL122","slide, microscope","item",0.05,3.00,,"XXX",,,
"88346","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,1.00,,"XXX",,,
"88347","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,4.00,,"XXX",,,
"88347","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,,"XXX",,,
"88347","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88347","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"88347","RUC","Lab","SL013","antibody IgG FITC","ml",62.20,0.22,,"XXX",,,
"88347","RUC","Lab","SL014","antibody IgG1 FITC anti-human (each test)","item",2.30,1.00,,"XXX",,,
"88347","RUC","Lab","SL030","cover slip, glass","item",0.07,3.00,,"XXX",,,
"88347","RUC","Lab","SL085","label for microscope slides","item",0.02,3.00,,"XXX",,,
"88347","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,,"XXX",,,
"88347","RUC","Lab","SL096","negative control (anti-albumin)","ml",41.75,0.10,,"XXX",,,
"88347","RUC","Lab","SL117","protein blocking agent","ml",0.89,1.00,,"XXX",,,
"88347","RUC","Lab","SL122","slide, microscope","item",0.05,3.00,,"XXX",,,
"88348","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Hypodermic, IV","SC095","syringe filter","item",2.04,4.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Accessory, Procedure","SD082","gas, liquid nitrogen","ml",3.0e-03,2000.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Accessory, Procedure","SD086","grids","item",0.11,4.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Cutters, Closures, Cautery","SF005","blade, single edge","item",0.26,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,18.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Office Supply, Grocery","SK065","photographic stop bath","oz",0.01,0.16,0.00,"XXX",,"Mar03","19"
"88348","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.60,0.00,"XXX",,"Mar03","19"
"88348","RUC","Office Supply, Grocery","SK097","canned air (Dust-Off)","oz",1.02,6.0e-03,0.00,"XXX",,"Mar03","19"
"88348","RUC","Office Supply, Grocery","SK099","Photo-Flo soln","ml",0.02,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL018","beaker, 250 ml","item",0.85,3.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL025","chloroform","ml",0.02,0.10,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL030","cover slip, glass","item",0.07,8.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL044","DDSA","gm",0.04,3.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL050","DMP 30","gm",0.23,0.40,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL057","embedding capsules","item",0.04,8.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL059","embedding epoxy (NMA)","ml",0.03,7.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL064","filter paper, qualitative, <15.0cm","item",0.12,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL074","glass strip (each)","item",3.16,0.25,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL075","glutaraldehyde 25%","ml",0.14,5.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL079","hydrochloric acid 0.1%, std soln","ml",0.01,0.03,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL085","label for microscope slides","item",0.02,11.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL087","lens paper","item",0.02,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL088","lint-free cloth","item",0.18,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL098","osmium tetroxide","gm",35.00,0.06,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL103","petri dish","item",0.13,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL108","pipette","item",0.03,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL111","Poly Bed 812","gm",0.06,10.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL116","propylene oxide","ml",0.03,30.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL122","slide, microscope","item",0.05,8.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL125","sodium cacodylate","gm",0.48,0.50,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL127","sodium citrate","gm",0.01,0.10,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL128","sodium hydroxide","gm",0.06,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL147","uranyl acetate","gm",3.16,0.20,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL154","alcohol ethyl 100%","ml",0.02,20.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL155","applicator, wood, 6.5in","item",7.9e-03,3.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL158","diamond knife cleaning rod","item",1.00,0.50,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL159","gas, nitrogen","cu ft",2.70,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL160","glass knife boat","item",0.20,2.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL161","grid storage box (holds 50 grids)","item",3.75,0.08,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL162","lead citrate","gm",0.51,0.01,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL164","osmometer sample tip and cleaner","item",0.53,3.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL165","osmometer std, 50 mOsm-kg, 2ml amp","ml",17.00,0.05,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL166","osmometer std, 850 mOsm-kg, 2ml amp","ml",17.00,0.05,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL167","paper, weighing (glassine)","item",0.02,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL168","pipette bulb","item",0.27,4.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL169","pipette, 9inch","item",0.05,4.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL170","sodium acetate","gm",0.06,0.10,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL171","sodium barbital","gm",0.31,0.10,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL172","specimen block storage box","item",0.62,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL173","sucrose, reagent","gm",0.03,0.60,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL174","Toluidine Blue O (for microscopy)","gm",0.58,0.10,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL175","underpad 2ft x 2ft (lab bench)","item",0.37,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL176","vial, specimen-sample, 4ml","item",0.55,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Lab","SL177","wax sheet","item",0.28,1.00,0.00,"XXX",,"Mar03","19"
"88348","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,6.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Wound Care, Dressings","SG081","applicator, cotton-tipped, sterile, 6in","item",0.05,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Office Supply, Grocery","SK072","sandpaper (per sheet)","item",0.39,0.25,0.00,"XXX",,"Mar03","19"
"88349","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,1.60,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL018","beaker, 250 ml","item",0.85,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL020","bleach","ml",1.0e-03,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL023","carbon rod","item",3.00,0.05,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL064","filter paper, qualitative, <15.0cm","item",0.12,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL087","lens paper","item",0.02,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL088","lint-free cloth","item",0.18,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL153","adhesive, conductive (silver, liquid)","gm",3.00,0.10,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL155","applicator, wood, 6.5in","item",7.9e-03,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL159","gas, nitrogen","cu ft",2.70,0.72,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL163","mount, carbon spectro-pure (for SEM)","item",0.50,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL168","pipette bulb","item",0.27,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL169","pipette, 9inch","item",0.05,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL175","underpad 2ft x 2ft (lab bench)","item",0.37,1.00,0.00,"XXX",,"Mar03","19"
"88349","RUC","Lab","SL176","vial, specimen-sample, 4ml","item",0.55,1.00,0.00,"XXX",,"Mar03","19"
"88355","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,3.00,0.00,"XXX",,"Feb05",
"88355","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Accessory, Procedure","SD005","biopsy sponge (Histo-Prep)","item",0.05,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,6.00,0.00,"XXX",,"Feb05",
"88355","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,0.01,0.00,"XXX",,"Feb05",
"88355","RUC","Office Supply, Grocery","SK103","cork sheet, 1cm x 1 cm","item",0.02,4.00,0.00,"XXX",,"Feb05",
"88355","RUC","Office Supply, Grocery","SK104","foil, aluminum, 10 cm x 10 cm","item",0.02,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL004","alcohol reagent solvent","ml",0.01,250.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL005","alcohol, acid","ml",4.0e-03,5.40,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,12.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL030","cover slip, glass","item",0.07,3.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL031","cover slip, liquid (M-1)","ml",0.03,0.10,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL058","embedding cassette","item",0.15,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL060","embedding mold","item",0.14,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL061","embedding paraffin","kg",5.36,0.01,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,50.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,16.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.20,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL090","methanol, absolute, 99.8% min.","ml",0.02,1.50,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL091","methylbutane (Isopentane)","ml",0.02,300.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,0.50,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,3.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL097","OCT Tissue-Tek","ml",0.06,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL108","pipette","item",0.03,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,6.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,5.40,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL149","waterbath reagent","ml",2.0e-03,3.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL151","xylenes solvent","ml",0.01,1000.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL188","EM fixative, karnovsky's","ml",0.08,15.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL198","label, vial","item",2.7e-03,2.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL199","lithium carbonate, saturated","ml",0.01,5.40,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL201","stain, eosin","ml",0.04,5.40,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL203","vial, 10 ml, plastic (-70 degree storage)","item",1.01,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Lab","SL204","vial, kimble sample, non sterile, glass, 20 ml","item",0.70,1.00,0.00,"XXX",,"Feb05",
"88355","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,100.00,0.00,"XXX",,"Feb05",
"88355","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,2.00,0.00,"XXX",,"Feb05",
"88356","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,8.00,0.00,"XXX",,"Feb05",
"88356","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"XXX",,"Feb05",
"88356","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,0.00,"XXX",,"Feb05",
"88356","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"XXX","88170","Feb05",
"88356","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Hypodermic, IV","SC095","syringe filter","item",2.04,4.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Accessory, Procedure","SD005","biopsy sponge (Histo-Prep)","item",0.05,2.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Accessory, Procedure","SD086","grids","item",0.11,4.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Cutters, Closures, Cautery","SF005","blade, single edge","item",0.26,2.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"XXX","Feb05","Feb05",
"88356","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,0.00,"XXX",,"Feb05",
"88356","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,5.00,0.00,"XXX",,"Feb05",
"88356","RUC","Office Supply, Grocery","SK073","skin marking ink (tattoo)","ml",0.22,0.01,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL004","alcohol reagent solvent","ml",0.01,250.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL005","alcohol, acid","ml",4.0e-03,5.40,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL018","beaker, 250 ml","item",0.85,3.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL025","chloroform","ml",0.02,0.10,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,12.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL030","cover slip, glass","item",0.07,11.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL031","cover slip, liquid (M-1)","ml",0.03,0.10,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL044","DDSA","gm",0.04,3.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL050","DMP 30","gm",0.23,0.40,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL057","embedding capsules","item",0.04,8.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL058","embedding cassette","item",0.15,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL059","embedding epoxy (NMA)","ml",0.03,7.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL060","embedding mold","item",0.14,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL061","embedding paraffin","kg",5.36,0.01,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL064","filter paper, qualitative, <15.0cm","item",0.12,2.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL068","fixative (for tissue specimen)","ml",0.01,50.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,16.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL074","glass strip (each)","item",3.16,0.25,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL075","glutaraldehyde 25%","ml",0.14,5.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL078","histology freezing spray (Freeze-It)","oz",1.44,0.20,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL079","hydrochloric acid 0.1%, std soln","ml",0.01,0.03,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL085","label for microscope slides","item",0.02,14.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL087","lens paper","item",0.02,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL088","lint-free cloth","item",0.18,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL090","methanol, absolute, 99.8% min.","ml",0.02,1.50,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL093","mold release agent, liquid","ml",0.06,0.50,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,5.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL098","osmium tetroxide","gm",35.00,0.06,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL103","petri dish","item",0.13,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL108","pipette","item",0.03,1.00,3.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL111","Poly Bed 812","gm",0.06,10.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL116","propylene oxide","ml",0.03,30.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL122","slide, microscope","item",0.05,14.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,6.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,5.40,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL149","waterbath reagent","ml",2.0e-03,3.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL151","xylenes solvent","ml",0.01,1000.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL160","glass knife boat","item",0.20,2.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL161","grid storage box (holds 50 grids)","item",3.75,0.08,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL167","paper, weighing (glassine)","item",0.02,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL168","pipette bulb","item",0.27,4.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL169","pipette, 9inch","item",0.05,4.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL172","specimen block storage box","item",0.62,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL173","sucrose, reagent","gm",0.03,0.60,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL174","Toluidine Blue O (for microscopy)","gm",0.58,0.10,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL175","underpad 2ft x 2ft (lab bench)","item",0.37,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL176","vial, specimen-sample, 4ml","item",0.55,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL177","wax sheet","item",0.28,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL188","EM fixative, karnovsky's","ml",0.08,15.00,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL199","lithium carbonate, saturated","ml",0.01,5.40,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL201","stain, eosin","ml",0.04,5.40,0.00,"XXX",,"Feb05",
"88356","RUC","Lab","SL204","vial, kimble sample, non sterile, glass, 20 ml","item",0.70,1.00,0.00,"XXX",,"Feb05",
"88356","RUC","Infection Control","SM017","formaldehyde spill control","ml",5.0e-03,100.00,0.00,"XXX",,"Feb05",
"88356","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,8.00,0.00,"XXX",,"Feb05",
"88358","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88358","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88358","RUC","Lab","SL005","alcohol, acid","ml",4.0e-03,0.20,,"XXX",,,
"88358","RUC","Lab","SL030","cover slip, glass","item",0.07,3.00,,"XXX",,,
"88358","RUC","Lab","SL051","DNA 0.05N HCl rinse reagent","ml",4.0e-03,0.20,,"XXX",,,
"88358","RUC","Lab","SL052","DNA 0.1N HCl staining soln","ml",4.0e-03,0.20,,"XXX",,,
"88358","RUC","Lab","SL053","DNA 5N HCl","ml",4.0e-03,0.20,,"XXX",,,
"88358","RUC","Lab","SL054","DNA calibration slides","item",1.25,1.00,,"XXX",,,
"88358","RUC","Lab","SL055","DNA stain kit (per test)","item",150.00,0.10,,"XXX",,,
"88358","RUC","Lab","SL085","label for microscope slides","item",0.02,3.00,,"XXX",,,
"88358","RUC","Lab","SL112","positive control slide","item",11.80,1.00,,"XXX",,,
"88358","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88358","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,5.00,,"XXX",,,
"88358","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,,"XXX",,,
"88360","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88360","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"88360","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88360","RUC","Lab","SL002","AEC buffer","ml",0.65,2.00,,"XXX",,,
"88360","RUC","Lab","SL003","AEC chromogen","ml",18.66,0.12,,"XXX",,,
"88360","RUC","Lab","SL010","antibody FITC monoclonal conjugate (each test)","item",3.54,1.00,,"XXX",,,
"88360","RUC","Lab","SL017","background block","ml",0.24,5.00,,"XXX",,,
"88360","RUC","Lab","SL019","biotinylated link (mouse, rabbit)","ml",1.99,0.40,,"XXX",,,
"88360","RUC","Lab","SL030","cover slip, glass","item",0.07,7.00,,"XXX",,,
"88360","RUC","Lab","SL077","hematoxylin reagent","ml",0.32,8.00,,"XXX",,,
"88360","RUC","Lab","SL085","label for microscope slides","item",0.02,7.00,,"XXX",,,
"88360","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,,"XXX",,,
"88360","RUC","Lab","SL102","peroxide block","ml",0.04,50.00,,"XXX",,,
"88360","RUC","Lab","SL106","phosphate buffered saline packet (Zeus)","item",2.09,1.00,,"XXX",,,
"88360","RUC","Lab","SL112","positive control slide","item",11.80,2.00,,"XXX",,,
"88360","RUC","Lab","SL122","slide, microscope","item",0.05,6.00,,"XXX",,,
"88360","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,8.00,,"XXX",,,
"88360","RUC","Lab","SL142","streptavidin label","ml",3.98,0.40,,"XXX",,,
"88360","RUC","Lab","SL145","tissue revival soln","ml",0.03,50.00,,"XXX",,,
"88360","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,,"XXX",,,
"88361","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88361","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"88361","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,1.00,,"XXX",,,
"88361","RUC","Lab","SL002","AEC buffer","ml",0.65,2.00,,"XXX",,,
"88361","RUC","Lab","SL003","AEC chromogen","ml",18.66,0.12,,"XXX",,,
"88361","RUC","Lab","SL010","antibody FITC monoclonal conjugate (each test)","item",3.54,1.00,,"XXX",,,
"88361","RUC","Lab","SL017","background block","ml",0.24,5.00,,"XXX",,,
"88361","RUC","Lab","SL019","biotinylated link (mouse, rabbit)","ml",1.99,0.40,,"XXX",,,
"88361","RUC","Lab","SL030","cover slip, glass","item",0.07,7.00,,"XXX",,,
"88361","RUC","Lab","SL077","hematoxylin reagent","ml",0.32,8.00,,"XXX",,,
"88361","RUC","Lab","SL085","label for microscope slides","item",0.02,7.00,,"XXX",,,
"88361","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,2.00,,"XXX",,,
"88361","RUC","Lab","SL102","peroxide block","ml",0.04,50.00,,"XXX",,,
"88361","RUC","Lab","SL106","phosphate buffered saline packet (Zeus)","item",2.09,1.00,,"XXX",,,
"88361","RUC","Lab","SL112","positive control slide","item",11.80,2.00,,"XXX",,,
"88361","RUC","Lab","SL122","slide, microscope","item",0.05,6.00,,"XXX",,,
"88361","RUC","Lab","SL135","stain, hematoxylin","ml",0.04,8.00,,"XXX",,,
"88361","RUC","Lab","SL142","streptavidin label","ml",3.98,0.40,,"XXX",,,
"88361","RUC","Lab","SL145","tissue revival soln","ml",0.03,50.00,,"XXX",,,
"88361","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,,"XXX",,,
"88362","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,8.00,,"XXX",,,
"88362","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"88362","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,,
"88362","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,,
"88362","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,2.00,,"XXX",,,
"88362","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,2.00,,"XXX",,,
"88362","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,2.00,,"XXX",,,
"88362","RUC","Cutters, Closures, Cautery","SF005","blade, single edge","item",0.26,4.00,,"XXX",,,
"88362","RUC","Lab","SL001","acetone","ml",0.01,5.00,,"XXX",,,
"88362","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,120.00,,"XXX",,,
"88362","RUC","Lab","SL018","beaker, 250 ml","item",0.85,6.00,,"XXX",,,
"88362","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,2.00,,"XXX",,,
"88362","RUC","Lab","SL044","DDSA","gm",0.04,12.00,,"XXX",,,
"88362","RUC","Lab","SL050","DMP 30","gm",0.23,1.00,,"XXX",,,
"88362","RUC","Lab","SL059","embedding epoxy (NMA)","ml",0.03,,,"XXX",,,
"88362","RUC","Lab","SL061","embedding paraffin","kg",5.36,0.01,,"XXX",,,
"88362","RUC","Lab","SL075","glutaraldehyde 25%","ml",0.14,0.50,,"XXX",,,
"88362","RUC","Lab","SL085","label for microscope slides","item",0.02,2.00,,"XXX",,,
"88362","RUC","Lab","SL088","lint-free cloth","item",0.18,1.00,,"XXX",,,
"88362","RUC","Lab","SL098","osmium tetroxide","gm",35.00,0.01,,"XXX",,,
"88362","RUC","Lab","SL099","paraformaldehyde","gm",0.07,5.0e-03,,"XXX",,,
"88362","RUC","Lab","SL103","petri dish","item",0.13,2.00,,"XXX",,,
"88362","RUC","Lab","SL104","phosphate buffer, dibasic","gm",0.04,0.30,,"XXX",,,
"88362","RUC","Lab","SL105","phosphate buffer, monobasic","gm",0.03,0.30,,"XXX",,,
"88362","RUC","Lab","SL108","pipette","item",0.03,6.00,,"XXX",,,
"88362","RUC","Lab","SL111","Poly Bed 812","gm",0.06,30.00,,"XXX",,,
"88362","RUC","Lab","SL116","propylene oxide","ml",0.03,3.00,,"XXX",,,
"88362","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,,"XXX",,,
"88362","RUC","Lab","SL125","sodium cacodylate","gm",0.48,0.01,,"XXX",,,
"88362","RUC","Lab","SL127","sodium citrate","gm",0.01,0.25,,"XXX",,,
"88362","RUC","Lab","SL128","sodium hydroxide","gm",0.06,5.00,,"XXX",,,
"88362","RUC","Lab","SL130","spatula (pathology)","item",0.71,2.00,,"XXX",,,
"88362","RUC","Lab","SL147","uranyl acetate","gm",3.16,1.00,,"XXX",,,
"88362","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,8.00,,"XXX",,,
"88363","RUC","Office Supply, Grocery","SK112","Federal Express cost (average across all zones)","item",29.56,1.00,,"010",,"CPT11","17"
"88365","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,0.25,0.00,"XXX",,,
"88365","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.25,0.00,"XXX",,,
"88365","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.25,0.00,"XXX",,,
"88365","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,0.25,0.00,"XXX",,,
"88365","RUC","Accessory, Procedure","SD178","kit, bcr/abl DNA Probe","kit",42.65,1.50,0.00,"XXX",,,
"88365","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,0.25,0.00,"XXX",,,
"88365","RUC","Pharmacy, NonRx","SJ070","rubber cement","ml",0.12,0.40,0.00,"XXX",,,
"88365","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,0.00,"XXX",,,
"88365","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,0.50,0.00,"XXX",,,
"88365","RUC","Lab","SL080","immersion oil","ml",0.07,0.10,0.00,"XXX",,,
"88365","RUC","Lab","SL085","label for microscope slides","item",0.02,0.75,0.00,"XXX",,,
"88365","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,0.00,"XXX",,,
"88365","RUC","Lab","SL178","0.2N HCL","ml",0.01,12.50,0.00,"XXX",,,
"88365","RUC","Lab","SL179","1.0N NaOH","ml",0.48,0.25,0.00,"XXX",,,
"88365","RUC","Lab","SL180","phosphate buffered saline (PBS)","ml",0.02,12.50,0.00,"XXX",,,
"88365","RUC","Lab","SL181","pipette tips, sterile","item",0.06,1.00,0.00,"XXX",,,
"88365","RUC","Lab","SL182","mounting media (DAPI II counterstain)","ml",67.00,0.01,0.00,"XXX",,,
"88365","RUC","Lab","SL183","slide, organosilane coated","item",0.37,0.25,0.00,"XXX",,,
"88365","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,37.50,0.00,"XXX",,,
"88365","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,12.50,0.00,"XXX",,,
"88365","RUC","Lab","SL191","ethanol, 85%","ml",3.3e-03,12.50,0.00,"XXX",,,
"88365","RUC","Lab","SL192","formamide","ml",0.22,12.50,0.00,"XXX",,,
"88365","RUC","Lab","SL194","Hemo-De","ml",8.3e-03,37.50,0.00,"XXX",,,
"88365","RUC","Lab","SL195","kit, FISH paraffin pretreatment","kit",20.85,1.00,0.00,"XXX",,,
"88365","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,0.25,0.00,"XXX",,,
"88367","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,0.12,0.00,"XXX",,,
"88367","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.12,0.00,"XXX",,,
"88367","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.12,0.00,"XXX",,,
"88367","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,0.12,0.00,"XXX",,,
"88367","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,0.12,0.00,"XXX",,,
"88367","RUC","Pharmacy, NonRx","SJ070","rubber cement","ml",0.12,0.30,0.00,"XXX",,,
"88367","RUC","Lab","SL030","cover slip, glass","item",0.07,0.75,0.00,"XXX",,,
"88367","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,0.25,0.00,"XXX",,,
"88367","RUC","Lab","SL080","immersion oil","ml",0.07,0.05,0.00,"XXX",,,
"88367","RUC","Lab","SL085","label for microscope slides","item",0.02,0.75,0.00,"XXX",,,
"88367","RUC","Lab","SL178","0.2N HCL","ml",0.01,6.25,0.00,"XXX",,,
"88367","RUC","Lab","SL179","1.0N NaOH","ml",0.48,0.12,0.00,"XXX",,,
"88367","RUC","Lab","SL180","phosphate buffered saline (PBS)","ml",0.02,6.25,0.00,"XXX",,,
"88367","RUC","Lab","SL181","pipette tips, sterile","item",0.06,0.75,0.00,"XXX",,,
"88367","RUC","Lab","SL182","mounting media (DAPI II counterstain)","ml",67.00,7.5e-03,0.00,"XXX",,,
"88367","RUC","Lab","SL183","slide, organosilane coated","item",0.37,0.12,0.00,"XXX",,,
"88367","RUC","Lab","SL184","slide, negative control, Her-2","item",29.40,0.25,0.00,"XXX",,,
"88367","RUC","Lab","SL185","slide, positive control, Her-2","item",29.40,0.25,0.00,"XXX",,,
"88367","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,18.75,0.00,"XXX",,,
"88367","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,6.25,0.00,"XXX",,,
"88367","RUC","Lab","SL191","ethanol, 85%","ml",3.3e-03,6.25,0.00,"XXX",,,
"88367","RUC","Lab","SL192","formamide","ml",0.22,6.25,0.00,"XXX",,,
"88367","RUC","Lab","SL194","Hemo-De","ml",8.3e-03,18.80,0.00,"XXX",,,
"88367","RUC","Lab","SL195","kit, FISH paraffin pretreatment","kit",20.85,0.75,0.00,"XXX",,,
"88367","RUC","Lab","SL196","kit, HER-2/neu DNA Probe","kit",105.00,1.50,0.00,"XXX",,,
"88367","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,0.12,0.00,"XXX",,,
"88368","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,0.25,0.00,"XXX",,,
"88368","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,0.25,0.00,"XXX",,,
"88368","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,0.25,0.00,"XXX",,,
"88368","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,0.25,0.00,"XXX",,,
"88368","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,0.25,0.00,"XXX",,,
"88368","RUC","Pharmacy, NonRx","SJ070","rubber cement","ml",0.12,0.40,0.00,"XXX",,,
"88368","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,0.00,"XXX",,,
"88368","RUC","Lab","SL070","fixative processing (buffered formalin)","ml",9.0e-03,0.50,0.00,"XXX",,,
"88368","RUC","Lab","SL080","immersion oil","ml",0.07,0.10,0.00,"XXX",,,
"88368","RUC","Lab","SL085","label for microscope slides","item",0.02,0.75,0.00,"XXX",,,
"88368","RUC","Lab","SL178","0.2N HCL","ml",0.01,12.50,0.00,"XXX",,,
"88368","RUC","Lab","SL179","1.0N NaOH","ml",0.48,0.25,0.00,"XXX",,,
"88368","RUC","Lab","SL180","phosphate buffered saline (PBS)","ml",0.02,12.50,0.00,"XXX",,,
"88368","RUC","Lab","SL181","pipette tips, sterile","item",0.06,1.00,0.00,"XXX",,,
"88368","RUC","Lab","SL182","mounting media (DAPI II counterstain)","ml",67.00,0.01,0.00,"XXX",,,
"88368","RUC","Lab","SL183","slide, organosilane coated","item",0.37,0.25,0.00,"XXX",,,
"88368","RUC","Lab","SL184","slide, negative control, Her-2","item",29.40,0.25,0.00,"XXX",,,
"88368","RUC","Lab","SL185","slide, positive control, Her-2","item",29.40,0.25,0.00,"XXX",,,
"88368","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,37.50,0.00,"XXX",,,
"88368","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,12.50,0.00,"XXX",,,
"88368","RUC","Lab","SL191","ethanol, 85%","ml",3.3e-03,12.50,0.00,"XXX",,,
"88368","RUC","Lab","SL192","formamide","ml",0.22,12.50,0.00,"XXX",,,
"88368","RUC","Lab","SL194","Hemo-De","ml",8.3e-03,37.50,0.00,"XXX",,,
"88368","RUC","Lab","SL195","kit, FISH paraffin pretreatment","kit",20.85,1.00,0.00,"XXX",,,
"88368","RUC","Lab","SL196","kit, HER-2/neu DNA Probe","kit",105.00,1.50,0.00,"XXX",,,
"88368","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,0.25,0.00,"XXX",,,
"88371","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"88372","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"88380","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,2.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,2.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL151","xylenes solvent","ml",0.01,100.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,100.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,100.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL240","tube, centrifuge, micro, 1.5 ml, DNase free snap lock","item",0.07,6.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL247","caps, Capsure Macro LCM","ml",4.54,2.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,100.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL249","glycerol, 3%","ml",1.0e-03,100.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL250","methylene blue stain","ml",0.17,6.00,0.00,"XXX",,"CPT08","rv"
"88380","RUC","Lab","SL252","slide, microscope, sterile","item",1.00,6.00,0.00,"XXX",,"CPT08","rv"
"88381","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Cutters, Closures, Cautery","SF004","blade, microtome","item",1.72,2.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Cutters, Closures, Cautery","SF053","blade, sharp pointed surgical","item",0.73,6.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Office Supply, Grocery","SK097","canned air (Dust-Off)","oz",1.02,1.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL030","cover slip, glass","item",0.07,2.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL122","slide, microscope","item",0.05,2.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL134","stain, frozen section, H&E (1ml per slide)","ml",0.56,2.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL151","xylenes solvent","ml",0.01,100.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL189","ethanol, 100%","ml",3.3e-03,100.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL190","ethanol, 70%","ml",3.3e-03,100.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL240","tube, centrifuge, micro, 1.5 ml, DNase free snap lock","item",0.07,6.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL246","buffer, lysis","ml",0.46,50.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL248","ethanol, 95%","ml",3.3e-03,100.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL249","glycerol, 3%","ml",1.0e-03,100.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL251","Rnase-free water","ml",0.85,50.00,0.00,"XXX",,"CPT08","M"
"88381","RUC","Lab","SL252","slide, microscope, sterile","item",1.00,6.00,0.00,"XXX",,"CPT08","M"
"88387","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Accessory, Procedure","SD226","forceps, sterile, blunt tip, polystyrene","item",0.64,1.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Cutters, Closures, Cautery","SF047","scalpel, safety, surgical, with blade (#10-20)","item",2.14,1.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Lab","SL103","petri dish","item",0.13,1.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Lab","SL167","paper, weighing (glassine)","item",0.02,1.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Lab","SL245","weighing dishes, pour boats","item",0.21,1.00,0.00,"XXX",,"CPT10","19"
"88387","RUC","Lab","SL263","Plastic storage container, 11oz","item",,1.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Accessory, Procedure","SD226","forceps, sterile, blunt tip, polystyrene","item",0.64,1.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Cutters, Closures, Cautery","SF047","scalpel, safety, surgical, with blade (#10-20)","item",2.14,1.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Lab","SL020","bleach","ml",1.0e-03,50.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Lab","SL103","petri dish","item",0.13,1.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Lab","SL167","paper, weighing (glassine)","item",0.02,1.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Lab","SL245","weighing dishes, pour boats","item",0.21,1.00,0.00,"XXX",,"CPT10","19"
"88388","RUC","Lab","SL263","Plastic storage container, 11oz","item",,1.00,0.00,"XXX",,"CPT10","19"
"88399","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"89049","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"XXX",,"RUC05",
"89049","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"89049","RUC","Gown, Drape","SB030","lab coat, staff","item",4.52,1.00,0.00,"XXX",,"RUC05",
"89049","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,8.00,0.00,"XXX",,"RUC05",
"89049","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,1.00,0.00,"XXX",,"RUC05",
"89049","RUC","Cutters, Closures, Cautery","SF050","suture, plain, gut, 2-0 to 6-0","item",4.26,4.00,0.00,"XXX",,"RUC05",
"89049","RUC","Office Supply, Grocery","SK060","paper, recording, roll (per foot)","foot",0.08,30.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL104","phosphate buffer, dibasic","gm",0.04,0.60,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL110","pipette tip (blue-yellow)","item",0.04,24.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL143","test tube","item",0.27,8.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL211","caffeine","gm",0.21,2.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL212","CHCT buffer (NaCl, NaHCO3, KCl, KH2PO4, MgSO4,CaCl12-2H20)","liter",1.24,1.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL222","gas, halothane","ml",0.10,24.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL223","gas, mixture, tank G, 5% CO2 and 95% O2","item",20.00,0.33,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL224","gas, mixture, tank H","item",20.00,0.33,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL229","HCl, 1% hydrochloric acid","cc",0.15,1.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL232","KOH","gm",0.08,2.00,0.00,"XXX",,"RUC05",
"89049","RUC","Lab","SL245","weighing dishes, pour boats","item",0.21,4.00,0.00,"XXX",,"RUC05",
"89049","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,8.00,0.00,"XXX",,"RUC05",
"89049","RUC","Infection Control","SM024","soap, liquid, antibacterial","oz",0.20,,0.00,"XXX",,"RUC05",
"89049","RUC","Infection Control","SM027","wipes, lens cleaning (per wipe) (Kimwipe)","item",0.01,50.00,0.00,"XXX",,"RUC05",
"89051","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89055","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89060","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"89160","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89190","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89220","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,4.00,0.00,"XXX",,,
"89220","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"XXX",,,
"89230","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"89250","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89251","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89253","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89254","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89255","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89257","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89258","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89260","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89261","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89264","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89300","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89310","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89320","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89321","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89325","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89329","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"89330","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90281","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90283","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90287","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90288","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90291","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90296","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90371","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90375","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90376","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90378","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90384","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90385","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90386","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90389","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90393","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90396","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90399","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90460","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.50,0.00,"XXX",,"CPT11","18"
"90460","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,"CPT11","18"
"90460","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT11","18"
"90460","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT11","18"
"90460","RUC","Office Supply, Grocery","SK012","CDC information sheet","item",5.0e-03,1.00,0.00,"XXX",,"CPT11","18"
"90471","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"90471","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,,
"90471","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"90471","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"90471","RUC","Office Supply, Grocery","SK012","CDC information sheet","item",5.0e-03,1.00,,"XXX",,,
"90472","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"ZZZ",,,
"90472","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"ZZZ",,,
"90472","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ",,,
"90472","RUC","Office Supply, Grocery","SK012","CDC information sheet","item",5.0e-03,1.00,,"ZZZ",,,
"90473","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","90471","CPT11",
"90473","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX","90471","CPT11",
"90473","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90471","CPT11",
"90473","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX","90471","CPT11",
"90473","RUC","Office Supply, Grocery","SK012","CDC information sheet","item",5.0e-03,1.00,,"XXX","90471","CPT11",
"90474","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"ZZZ","90472","CPT11",
"90474","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"ZZZ","90472","CPT11",
"90474","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ","90472","CPT11",
"90474","RUC","Office Supply, Grocery","SK012","CDC information sheet","item",5.0e-03,1.00,,"ZZZ","90472","CPT11",
"90476","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90477","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90581","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90585","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90586","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90632","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90633","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90634","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90636","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90645","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90647","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90648","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90657","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90658","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90660","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90675","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90676","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90680","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90690","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90691","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90692","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90693","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90700","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90702","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90703","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90704","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90705","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90706","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90707","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90708","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90710","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90712","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90713","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90716","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90717","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90719","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90720","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90721","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90723","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90725","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90727","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90732","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90733","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90735","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90740","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90743","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90744","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90746","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90747","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90748","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"90749","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90791","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,,"XXX",,"CPT13","May 28"
"90791","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT13","May 28"
"90791","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"XXX",,"CPT13","May 28"
"90792","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,,"XXX",,"CPT13","May 28"
"90792","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT13","May 28"
"90792","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"XXX",,"CPT13","May 28"
"90833","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,0.25,,"ZZZ",,"CPT13","May 28"
"90833","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"ZZZ",,"CPT13","May 28"
"90833","RUC","Office Supply, Grocery","SK115","Reproduced patient worksheet","item",,0.50,,"ZZZ",,"CPT13","May 28"
"90836","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,0.25,,"ZZZ",,"CPT13","May 28"
"90836","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"ZZZ",,"CPT13","May 28"
"90836","RUC","Office Supply, Grocery","SK115","Reproduced patient worksheet","item",,0.50,,"ZZZ",,"CPT13","May 28"
"90838","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,0.25,,"ZZZ",,"CPT13","May 28"
"90838","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"ZZZ",,"CPT13","May 28"
"90838","RUC","Office Supply, Grocery","SK115","Reproduced patient worksheet","item",,0.50,,"ZZZ",,"CPT13","May 28"
"90845","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"XXX",,"CPT13","May 28"
"90846","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"XXX",,"CPT13","May 28"
"90847","RUC","Office Supply, Grocery","SK114","tissue (Kleenex)","item",0.01,0.05,,"XXX",,"CPT13","May 28"
"90849","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"90865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar03","8"
"90865","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"XXX",,"Mar03","8"
"90865","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,198.00,0.00,"XXX",,"Mar03","8"
"90867","RUC","Kit, Pack, Tray","SA109","pack, Senstar Treatment","pack",108.13,1.00,,"000",,"CPT12","May 26"
"90868","RUC","Kit, Pack, Tray","SA109","pack, Senstar Treatment","pack",108.13,1.00,,"000",,"CPT12","May 26"
"90869","RUC","Kit, Pack, Tray","SA109","pack, Senstar Treatment","pack",108.13,1.00,,"000",,"CPT12","May 26"
"90870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","8"
"90870","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"Mar03","8"
"90870","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,0.00,"000",,"Mar03","8"
"90870","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,2.00,0.00,"000",,"Mar03","8"
"90870","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,198.00,0.00,"000",,"Mar03","8"
"90870","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,2.00,0.00,"000",,"Mar03","8"
"90870","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Mar03","8"
"90870","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,8.00,0.00,"000",,"Mar03","8"
"90875","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,1.00,0.00,"XXX",,"Mar03","8"
"90875","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Mar03","8"
"90875","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Mar03","8"
"90875","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,0.00,"XXX",,"Mar03","8"
"90876","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,1.00,0.00,"XXX",,"Mar03","8"
"90876","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Mar03","8"
"90876","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Mar03","8"
"90876","RUC","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,0.00,"XXX",,"Mar03","8"
"90880","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Feb05","J"
"90882","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"90885","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"90887","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"90889","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"90899","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"90901","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"90901","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"90901","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"90901","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"90901","RUC","Accessory, Procedure","SD063","electrode, TENS-EMS, 2in x 2in (4 pack uou)","item",5.27,0.50,,"000",,,
"90901","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"90901","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"90901","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"000",,,
"90901","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"90901","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"000",,,
"90901","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"000",,,
"90911","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"90911","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"90911","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"90911","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000",,,
"90911","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"90911","RUC","Accessory, Procedure","SD057","electrode, external pelvic muscle","item",0.90,3.00,,"000",,,
"90911","RUC","Accessory, Procedure","SD113","sensor, EMG, vaginal-rectal","item",44.50,0.20,,"000",,,
"90911","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"000",,,
"90911","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,,
"90911","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"000",,,
"90911","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"000",,,
"90911","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"000",,,
"90940","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"90940","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,,
"90940","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"90940","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,,
"90940","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"90945","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,,"000",,,
"90951","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90952","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"Apr09","32"
"90953","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"Apr09","32"
"90954","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90955","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90956","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90957","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90958","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90959","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90960","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90961","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90962","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90963","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90964","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90965","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90966","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90967","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90968","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90969","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90970","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Apr09","32"
"90989","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90993","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"90997","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Feb05",
"90999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"91010","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","19"
"91010","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,,"000",,"CPT11","19"
"91010","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"000",,"CPT11","19"
"91010","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT11","19"
"91010","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,,"000",,"CPT11","19"
"91010","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,"CPT11","19"
"91010","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000",,"CPT11","19"
"91010","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,5.00,,"000",,"CPT11","19"
"91010","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,20.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,2.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000",,"CPT11","19"
"91010","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"000",,"CPT11","19"
"91010","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"000",,"CPT11","19"
"91010","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,,"000",,"CPT11","19"
"91010","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,,"000",,"CPT11","19"
"91010","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,5.00,,"000",,"CPT11","19"
"91010","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000",,"CPT11","19"
"91010","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.00,,"000",,"CPT11","19"
"91013","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"ZZZ",,"CPT11","19"
"91013","RUC","Accessory, Procedure","SD029","catheter, red rubber","item",0.97,1.00,,"ZZZ",,"CPT11","19"
"91013","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"ZZZ",,"CPT11","19"
"91013","RUC","Lab","SL229","HCl, 1% hydrochloric acid","cc",0.15,10.00,,"ZZZ",,"CPT11","19"
"91020","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar03","16"
"91020","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"Mar03","16"
"91020","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar03","16"
"91020","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Mar03","16"
"91020","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Accessory, Procedure","SD203","sensor, manometry","item",25.00,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,"Mar03","16"
"91020","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Mar03","16"
"91020","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"Mar03","16"
"91020","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Mar03","16"
"91020","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"000",,"Mar03","16"
"91020","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,0.00,"000",,"Mar03","16"
"91022","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"RUC05",
"91022","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"RUC05",
"91022","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"RUC05",
"91022","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"RUC05",
"91022","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"RUC05",
"91022","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"RUC05",
"91022","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"RUC05",
"91022","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"000",,"RUC05",
"91022","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"RUC05",
"91022","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"RUC05",
"91022","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,"RUC05",
"91022","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"RUC05",
"91022","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,5.00,0.00,"000",,"RUC05",
"91022","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,0.00,"000",,"RUC05",
"91022","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"RUC05",
"91022","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"RUC05",
"91022","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"RUC05",
"91022","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,"RUC05",
"91022","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"RUC05",
"91030","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar03","16"
"91030","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"Mar03","16"
"91030","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar03","16"
"91030","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Mar03","16"
"91030","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,8.00,0.00,"000",,"Mar03","16"
"91030","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,"Mar03","16"
"91030","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Mar03","16"
"91030","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,0.00,"000",,"Mar03","16"
"91030","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Mar03","16"
"91030","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,"Mar03","16"
"91030","RUC","Lab","SL079","hydrochloric acid 0.1%, std soln","ml",0.01,1.00,0.00,"000",,"Mar03","16"
"91034","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"91034","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"91034","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"91034","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"91034","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"91034","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,,
"91034","RUC","Accessory, Procedure","SD060","electrode, internal for pH","item",41.60,1.00,0.00,"000",,,
"91034","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,,
"91034","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,,
"91034","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,,
"91034","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"91034","RUC","Wound Care, Dressings","SG089","tape, phix strips (for nasal catheter)","item",1.40,5.00,0.00,"000",,,
"91034","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,,
"91034","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"91034","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,,
"91034","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,,
"91034","RUC","Pharmacy, NonRx","SJ039","pH buffer solution","ml",0.04,60.00,0.00,"000",,,
"91034","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,,
"91034","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,,
"91035","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"91035","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,,
"91035","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"91035","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,,
"91035","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,,
"91035","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,,
"91035","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,,
"91035","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,,
"91035","RUC","Accessory, Procedure","SD204","sensor, pH capsule (Bravo)","item",225.00,1.00,0.00,"000",,,
"91035","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,,
"91035","RUC","Wound Care, Dressings","SG089","tape, phix strips (for nasal catheter)","item",1.40,5.00,0.00,"000",,,
"91035","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,,
"91035","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"91035","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,,
"91035","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,,
"91035","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,,
"91035","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,,
"91037","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"91037","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"91037","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"91037","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"91037","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"91037","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,,
"91037","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,,
"91037","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,,
"91037","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,,
"91037","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,,
"91037","RUC","Wound Care, Dressings","SG089","tape, phix strips (for nasal catheter)","item",1.40,5.00,0.00,"000",,,
"91037","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,,
"91037","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"91037","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,,
"91037","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,,
"91037","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,,
"91037","RUC","Pharmacy, NonRx","SJ068","saline, viscous (swallow challenge medium)","ml",0.25,80.00,0.00,"000",,,
"91037","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,,
"91037","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,4.00,0.00,"000",,,
"91038","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Accessory, Procedure","SD230","impedance catheter, infusion","item",95.00,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,5.00,,"000",,"Feb10","23"
"91038","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Feb10","23"
"91038","RUC","Wound Care, Dressings","SG089","tape, phix strips (for nasal catheter)","item",1.40,5.00,0.00,"000",,"Feb10","23"
"91038","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,"Feb10","23"
"91038","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,,"000",,"Feb10","23"
"91038","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Feb10","23"
"91038","RUC","Pharmacy, NonRx","SJ039","pH buffer solution","ml",0.04,60.00,0.00,"000",,"Feb10","23"
"91038","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Pharmacy, NonRx","SJ068","saline, viscous (swallow challenge medium)","ml",0.25,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"000",,"Feb10","23"
"91038","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,0.00,"000",,"Feb10","23"
"91038","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,2.00,0.00,"000",,"Feb10","23"
"91040","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"91040","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"91040","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"91040","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"91040","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"91040","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,,
"91040","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,,
"91040","RUC","Accessory, Procedure","SD216","catheter, balloon, esophageal or rectal (graded distention test)","item",217.00,1.00,0.00,"000",,,
"91040","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,5.00,0.00,"000",,,
"91040","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,,
"91040","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,20.00,0.00,"000",,,
"91040","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"91040","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,,
"91040","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"000",,,
"91040","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,,
"91040","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"000",,,
"91040","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,,
"91065","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Hypodermic, IV","SC050","stop cock, 4-way","item",1.62,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Hypodermic, IV","SC094","Syringe, 35 ml, Monoject, Plastic","item",2.24,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD224","Filter, Foam Plug (10/Pk)","item",0.36,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD225","Flutter Valve for Tee-Connector","item",1.26,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD234","QuinGas-3, 150 H2, 75 CH4, 6% CO2, BreathTracker SC Calibration Gas","cc",1.21,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD236","Single Patient Discard Bag, 400 ml","item",1.20,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD237","Sivrite-4","g",0.08,7.50,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD241","Substrate, D-Xylose, 25 gm Packet","item",10.76,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD242","Tee-Connector, Plastic","item",1.40,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Accessory, Procedure","SD244","Water Barriers/Dust Traps (5/Pk)","item",4.94,1.00,0.00,"000",,"Feb10","23"
"91065","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Feb10","23"
"91065","RUC","Lab","SL048","desiccant-absorber","item",0.15,1.00,,"000",,"Feb10","23"
"91065","RUC","Infection Control","SM008","biohazard specimen transport bag","item",0.03,1.00,0.00,"000",,"Feb10","23"
"91110","RUC","Kit, Pack, Tray","SA005","kit, capsule endoscopy w-application supplies (M2A)","kit",450.00,1.00,0.00,"XXX",,,
"91110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"91111","RUC","Kit, Pack, Tray","SA094","kit, capsule, ESO,  endoscopy w-application supplies (ESO)","kit",450.00,1.00,0.00,"XXX",,"CPT07",
"91112","RUC","Accessory, Procedure","SD272","SmartPill capsule","item",600.00,1.00,,,,"CPT13","May 29"
"91117","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT11","20"
"91120","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,,
"91120","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,1.00,0.00,"000",,,
"91120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,,
"91120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,,
"91120","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"000",,,
"91120","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,,
"91120","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,,
"91120","RUC","Accessory, Procedure","SD216","catheter, balloon, esophageal or rectal (graded distention test)","item",217.00,1.00,0.00,"000",,,
"91120","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,5.00,0.00,"000",,,
"91120","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,,
"91120","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"000",,,
"91120","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,,
"91120","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,,
"91122","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"Mar03","16"
"91122","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"000",,"Mar03","16"
"91122","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,0.00,"000",,"Mar03","16"
"91122","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"Mar03","16"
"91122","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Accessory, Procedure","SD125","transducer dome (pressure)","item",7.65,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Accessory, Procedure","SD203","sensor, manometry","item",25.00,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,0.00,"000",,"Mar03","16"
"91122","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"Mar03","16"
"91122","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,2.00,0.00,"000",,"Mar03","16"
"91122","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,0.00,"000",,"Mar03","16"
"91122","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,0.00,"000",,"Mar03","16"
"91122","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,0.00,"000",,"Mar03","16"
"91132","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb10","24"
"91132","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,11.00,,"XXX",,"Feb10","24"
"91132","RUC","Accessory, Procedure","SD106","pad, cardioversion R2 (2 pack)","item",29.75,1.00,,"XXX",,"Feb10","24"
"91132","RUC","Accessory, Procedure","SD111","respiratory monitoring belt","item",20.00,1.00,,"XXX",,"Feb10","24"
"91132","RUC","Accessory, Procedure","SD166","electrode, EGG (single)","item",2.91,1.00,0.00,"XXX",,"Feb10","24"
"91132","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"Feb10","24"
"91132","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"XXX",,"Feb10","24"
"91132","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb10","24"
"91132","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Feb10","24"
"91132","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,11.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Accessory, Procedure","SD106","pad, cardioversion R2 (2 pack)","item",29.75,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Accessory, Procedure","SD111","respiratory monitoring belt","item",20.00,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Accessory, Procedure","SD166","electrode, EGG (single)","item",2.91,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,4.00,0.00,"XXX",,"Feb10","24"
"91133","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,0.00,"XXX",,"Feb10","24"
"91299","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"92002","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok",,
"92002","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92002","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92004","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok",,
"92004","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92004","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92012","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok",,
"92012","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92012","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92014","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok",,
"92014","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92014","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92015","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Sep04",
"92018","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"92019","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"92020","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"92020","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,2.00,,"XXX",,,
"92025","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"92060","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"92065","RUC","Wound Care, Dressings","SG043","dressing, eye pad (Opticlude)","item",0.32,1.00,,"XXX",,,
"92065","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"92071","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT12","May 27"
"92072","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,,"XXX",,"CPT12","May 27"
"92083","RUC","Accessory, Procedure","SD103","occluder, clip-on","item",1.44,1.00,,"XXX",,"CPT13","May 52"
"92100","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,4.00,,"XXX",,,
"92132","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT11","21"
"92133","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT11","38"
"92134","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT11","38"
"92136","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"92136","RUC","Pharmacy, Rx","SH037","Goniosol 2.5% ophth","ml",0.58,15.00,,"XXX",,,
"92136","RUC","Office Supply, Grocery","SK029","film, instant (Polaroid) (per exposure)","item",1.82,2.00,,"XXX",,,
"92140","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"92225","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok","Apr06","J"
"92226","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok","Apr06","J"
"92227","RUC","Pharmacy, Rx","SH073","tropicamide 1% ophth (Mydriacyl)","ml",0.65,1.00,0.00,"XXX",,"CPT11","22"
"92228","RUC","Pharmacy, Rx","SH073","tropicamide 1% ophth (Mydriacyl)","ml",0.65,1.00,0.00,"XXX",,"CPT11","22"
"92230","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok","Sep04",
"92230","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Sep04",
"92230","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"XXX",,"Sep04",
"92230","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX","Sep04","Sep04",
"92230","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX","Sep04","Sep04",
"92230","RUC","Pharmacy, Rx","SH033","fluorescein inj (5ml uou)","item",5.44,1.00,0.00,"XXX","Sep04","Sep04",
"92230","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Sep04",
"92235","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Pharmacy, Rx","SH033","fluorescein inj (5ml uou)","item",5.44,1.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Office Supply, Grocery","SK030","film, Tri-x 35mm BW (per exposure)","item",0.19,24.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"XXX",,"CPT13","Mar 12"
"92235","RUC","Office Supply, Grocery","SK065","photographic stop bath","oz",0.01,8.00,,"XXX",,"CPT13","Mar 12"
"92240","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok",,
"92240","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"92240","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,1.00,,"XXX",,,
"92240","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"92240","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,,
"92240","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92240","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,,
"92240","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"XXX",,,
"92240","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,,"XXX",,,
"92240","RUC","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,,
"92240","RUC","Lab","SL083","indocyanine green (25ml uou)","item",76.87,1.00,,"XXX",,,
"92250","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","ok",,
"92250","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92250","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"XXX",,,
"92250","RUC","Office Supply, Grocery","SK026","film, Ektachrome 35mm (per exposure)","item",0.28,36.00,,"XXX",,,
"92250","RUC","Office Supply, Grocery","SK076","slide sleeve (photo slides)","item",0.19,1.00,,"XXX",,,
"92260","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Apr06","J"
"92260","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,,"XXX",,,
"92265","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92265","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"Sep04",
"92265","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"XXX",,"Sep04",
"92265","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Sep04",
"92265","RUC","Accessory, Procedure","SD051","electrode needle, monopolar EMG w-lead","item",3.03,1.00,0.00,"XXX",,"Sep04",
"92265","RUC","Lab","SL187","balance salt solution (BSS), sterile, 15cc","ml",,15.00,0.00,"XXX",,"Sep04",
"92270","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"92270","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,,
"92270","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92270","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,0.10,,"XXX",,,
"92270","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92275","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,,
"92275","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,,
"92275","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92275","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,0.10,,"XXX",,,
"92275","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92283","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92283","RUC","Accessory, Procedure","SD103","occluder, clip-on","item",1.44,1.00,,"XXX",,,
"92283","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,,
"92284","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,0.00,"XXX",,"Sep04",
"92285","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,4.00,0.00,"XXX",,"CPT11","72"
"92287","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92287","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"XXX","90780","Sep04",
"92287","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Sep04",
"92287","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"XXX","Sep04","Sep04",
"92287","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,0.00,"XXX","Sep04","Sep04",
"92287","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,0.00,"XXX",,"Sep04",
"92287","RUC","Pharmacy, Rx","SH033","fluorescein inj (5ml uou)","item",5.44,1.00,0.00,"XXX","Sep04","Sep04",
"92287","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,0.00,"XXX",,"Sep04",
"92287","RUC","Office Supply, Grocery","SK030","film, Tri-x 35mm BW (per exposure)","item",0.19,24.00,0.00,"XXX",,"Sep04",
"92287","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,2.00,0.00,"XXX",,"Sep04",
"92287","RUC","Office Supply, Grocery","SK065","photographic stop bath","oz",0.01,16.00,0.00,"XXX",,"Sep04",
"92310","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92310","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92310","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92311","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92311","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92311","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92312","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92312","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92312","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92313","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92313","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92313","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92313","RUC","Pharmacy, NonRx","SJ080","lens cleaner, daily (Allergan)","ounce",0.42,1.00,0.00,"XXX",,"PFS07",
"92314","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92314","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92314","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92315","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92315","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92315","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92316","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92316","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92316","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92317","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Sep04",
"92317","RUC","Kit, Pack, Tray","SA089","kit, boston original system","kit",4.50,1.00,0.00,"XXX",,"Sep04",
"92317","RUC","Pharmacy, NonRx","SJ073","DMV remover","item",1.99,1.00,0.00,"XXX",,"Sep04",
"92325","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Jan04","13"
"92325","RUC","Pharmacy, NonRx","SJ065","contact lens (hard) care kit","item",7.95,1.00,0.00,"XXX",,"Jan04","13"
"92325","RUC","Pharmacy, NonRx","SJ066","contact lens (hard) extra strength cleaning solution","ml",0.15,1.00,0.00,"XXX",,"Jan04","13"
"92325","RUC","Pharmacy, NonRx","SJ067","contact lens (RGP) polishing soln (Silo2 Care)","ml",0.07,15.00,0.00,"XXX",,"Jan04","13"
"92326","RUC","Kit, Pack, Tray","SA050","pack, ophthalmology visit (no dilation)","pack",1.18,1.00,0.00,"XXX",,"Jan04","13"
"92326","RUC","Pharmacy, NonRx","SJ065","contact lens (hard) care kit","item",7.95,1.00,0.00,"XXX",,"Jan04","13"
"92326","RUC","Pharmacy, NonRx","SJ066","contact lens (hard) extra strength cleaning solution","ml",0.15,1.00,0.00,"XXX",,"Jan04","13"
"92340","RUC","Pharmacy, NonRx","SJ074","lens cleaner","ounce",0.69,1.00,0.00,"XXX",,"Sep04",
"92341","RUC","Pharmacy, NonRx","SJ074","lens cleaner","ounce",0.69,1.00,0.00,"XXX",,"Sep04",
"92342","RUC","Pharmacy, NonRx","SJ074","lens cleaner","ounce",0.69,1.00,0.00,"XXX",,"Sep04",
"92352","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"92352","RUC","Gown, Drape","SB035","paper, chinrest","item",8.0e-03,1.00,,"XXX",,,
"92352","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92352","RUC","Pharmacy, Rx","SH034","fluorescein strips","item",0.28,1.00,,"XXX",,,
"92352","RUC","Pharmacy, Rx","SH056","phenylephrine 2.5% ophth (Mydfrin)","ml",0.39,0.10,,"XXX",,,
"92352","RUC","Pharmacy, Rx","SH058","proparacaine 0.5% ophth (Ophthaine, Alcaine)","ml",0.59,0.10,,"XXX",,,
"92352","RUC","Pharmacy, Rx","SH073","tropicamide 1% ophth (Mydriacyl)","ml",0.65,0.10,,"XXX",,,
"92352","RUC","Pharmacy, NonRx","SJ015","contact lens soln (12oz uou)","item",4.19,1.00,,"XXX",,,
"92352","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92352","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"92352","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,,"XXX",,,
"92352","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,,"XXX",,,
"92353","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"92353","RUC","Gown, Drape","SB035","paper, chinrest","item",8.0e-03,1.00,,"XXX",,,
"92353","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92353","RUC","Pharmacy, Rx","SH034","fluorescein strips","item",0.28,1.00,,"XXX",,,
"92353","RUC","Pharmacy, Rx","SH056","phenylephrine 2.5% ophth (Mydfrin)","ml",0.39,0.10,,"XXX",,,
"92353","RUC","Pharmacy, Rx","SH058","proparacaine 0.5% ophth (Ophthaine, Alcaine)","ml",0.59,0.10,,"XXX",,,
"92353","RUC","Pharmacy, Rx","SH073","tropicamide 1% ophth (Mydriacyl)","ml",0.65,0.10,,"XXX",,,
"92353","RUC","Pharmacy, NonRx","SJ015","contact lens soln (12oz uou)","item",4.19,1.00,,"XXX",,,
"92353","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX",,,
"92353","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"92353","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,,"XXX",,,
"92353","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,,"XXX",,,
"92354","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","13"
"92355","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","13"
"92358","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","13"
"92370","RUC","Pharmacy, NonRx","SJ076","nose pads","item",0.79,1.00,0.00,"XXX",,"Sep04",
"92370","RUC","Pharmacy, NonRx","SJ077","screws, spectacles","item",0.14,1.00,0.00,"XXX",,"Sep04",
"92370","RUC","Pharmacy, NonRx","SJ078","temple tips","pair",1.00,1.00,0.00,"XXX",,"Sep04",
"92371","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","13"
"92499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"92502","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92504","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"92504","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,,
"92504","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"XXX",,,
"92504","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"XXX",,,
"92504","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92504","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,2.00,,"XXX",,,
"92504","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,"XXX",,,
"92504","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,1.00,,"XXX",,,
"92504","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92504","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"92506","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92506","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"XXX",,,
"92506","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92506","RUC","Office Supply, Grocery","SK007","audio cassette tape 60 min","item",0.76,1.00,,"XXX",,,
"92506","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,4.00,,"XXX",,,
"92506","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"XXX",,,
"92506","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,,"XXX",,,
"92506","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92506","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"92507","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92507","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,,"XXX",,,
"92507","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"XXX",,,
"92507","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,2.00,,"XXX",,,
"92507","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,2.00,,"XXX",,,
"92507","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92507","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,2.00,,"XXX",,,
"92508","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92508","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,,"XXX",,,
"92508","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"XXX",,,
"92508","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,2.00,,"XXX",,,
"92508","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,2.00,,"XXX",,,
"92508","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92508","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,2.00,,"XXX",,,
"92511","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"92511","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,,
"92511","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,,"000",,,
"92511","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,4.00,,"000",,,
"92511","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,,
"92511","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,2.00,,"000",,,
"92511","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"000",,,
"92511","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"000",,,
"92511","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"000",,,
"92511","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000",,,
"92511","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,1.00,,"000",,,
"92511","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,2.00,,"000",,,
"92511","RUC","Wound Care, Dressings","SG031","cottonoid","item",0.77,3.00,0.00,"000",,,
"92511","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"000",,,
"92511","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,2.00,,"000",,,
"92511","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"000",,,
"92511","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"92511","RUC","Pharmacy, NonRx","SJ012","Cetacaine spray (56gm size bottle)","gm",0.93,1.00,,"000",,,
"92511","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"000",,,
"92511","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"92511","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,1.00,,"000",,,
"92511","RUC","Infection Control","SM001","atomizer tip shield (RhinoGuard)","item",0.56,1.00,,"000",,,
"92511","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"000",,,
"92512","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,2.00,0.00,"XXX",,"Mar04","K"
"92512","RUC","Accessory, Procedure","SD183","nasal tip, olive","item",0.34,1.00,0.00,"XXX",,"Mar04","K"
"92512","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Accessory, Procedure","SD051","electrode needle, monopolar EMG w-lead","item",3.03,2.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,1.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,1.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,4.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,2.00,0.00,"XXX",,"Mar04","K"
"92516","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,0.50,0.00,"XXX",,"Mar04","K"
"92516","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,0.00,"XXX",,"Mar04","K"
"92520","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"92520","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,0.00,"XXX",,"RUC05",
"92520","RUC","Accessory, Procedure","SD130","tubing, latex","foot",0.58,1.00,0.00,"XXX",,"RUC05",
"92520","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"RUC05",
"92520","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"92520","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,8.00,0.00,"XXX",,"RUC05",
"92520","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,30.00,0.00,"XXX",,"RUC05",
"92526","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92526","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,3.00,,"XXX",,,
"92526","RUC","Pharmacy, NonRx","SJ051","swab, lemon-glycerine (3 pak uou)","item",0.12,3.00,,"XXX",,,
"92526","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92526","RUC","Pharmacy, NonRx","SJ058","thick-it pack","item",0.35,3.00,,"XXX",,,
"92526","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"XXX",,,
"92526","RUC","Office Supply, Grocery","SK004","apple sauce","oz",0.05,1.00,,"XXX",,,
"92526","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,2.00,,"XXX",,,
"92526","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,2.00,,"XXX",,,
"92526","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,3.00,,"XXX",,,
"92526","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,1.00,,"XXX",,,
"92526","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,2.00,,"XXX",,,
"92531","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"92532","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"92533","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"92534","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"92540","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT10","36"
"92540","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT10","36"
"92540","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,,"XXX",,"CPT10","36"
"92540","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,5.00,,"XXX",,"CPT10","36"
"92540","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,"CPT10","36"
"92540","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT10","36"
"92540","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,"CPT10","36"
"92540","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,"CPT10","36"
"92540","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,"CPT10","36"
"92540","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT10","36"
"92540","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,12.00,,"XXX",,"CPT10","36"
"92540","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT10","36"
"92541","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT10","36"
"92541","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,"CPT10","36"
"92541","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,"CPT10","36"
"92541","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT10","36"
"92541","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,"CPT10","36"
"92541","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,"CPT10","36"
"92541","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT10","36"
"92541","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,"CPT10","36"
"92541","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT10","36"
"92542","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT10","36"
"92542","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,"CPT10","36"
"92542","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,"CPT10","36"
"92542","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT10","36"
"92542","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,"CPT10","36"
"92542","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,"CPT10","36"
"92542","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,"CPT10","36"
"92542","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT10","36"
"92542","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,"CPT10","36"
"92542","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT10","36"
"92543","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,,
"92543","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"XXX",,,
"92543","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,,
"92543","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,1.00,,"XXX",,,
"92543","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,,
"92543","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92543","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"92543","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,1.00,,"XXX",,,
"92543","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92544","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92544","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,,
"92544","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,,
"92544","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92544","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"92544","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92544","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,,
"92544","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92544","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,,
"92544","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92545","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92545","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,,
"92545","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,,
"92545","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92545","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"92545","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92545","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,,
"92545","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92545","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,,
"92545","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92546","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92546","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"XXX",,,
"92546","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"XXX",,,
"92546","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92546","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"92546","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92546","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,,"XXX",,,
"92546","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92546","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,,
"92546","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92547","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,2.00,0.00,"ZZZ",,"Mar04","K"
"92547","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"ZZZ",,"Mar04","K"
"92547","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,2.00,0.00,"ZZZ",,"Mar04","K"
"92547","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,2.00,0.00,"ZZZ",,"Mar04","K"
"92547","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.00,0.00,"ZZZ",,"Mar04","K"
"92547","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"ZZZ",,"Mar04","K"
"92547","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,0.00,"ZZZ",,"Mar04","K"
"92548","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,0.00,"XXX",,"Mar04","K"
"92550","RUC","Accessory, Procedure","SD046","ear tip, tympanometry probe","item",0.95,1.00,,"XXX",,"CPT10","36"
"92550","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT10","36"
"92550","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT10","36"
"92550","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT10","36"
"92551","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,"Feb05",
"92551","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"92552","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,,
"92552","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"92552","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92553","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,,
"92553","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"92553","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92555","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,,
"92555","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"92555","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,,
"92556","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,,
"92556","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"92556","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,,
"92557","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,,
"92557","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"92557","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,,
"92558","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,"CPT12","May 43"
"92558","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT12","May 43"
"92558","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT12","May 43"
"92559","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92560","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92561","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92561","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"92561","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92562","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92562","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92563","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92563","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92564","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"92564","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92565","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92567","RUC","Accessory, Procedure","SD046","ear tip, tympanometry probe","item",0.95,2.00,,"XXX",,,
"92567","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"92567","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"92567","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"92568","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"92570","RUC","Accessory, Procedure","SD046","ear tip, tympanometry probe","item",0.95,1.00,,"XXX",,"CPT10","36"
"92570","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT10","36"
"92570","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,"CPT10","36"
"92570","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT10","36"
"92571","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92572","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92575","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92575","RUC","Office Supply, Grocery","SK085","Velcro, strong (Poly-Lock)","foot",2.82,2.00,0.00,"XXX",,"Mar04","K"
"92576","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92577","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92579","RUC","Accessory, Procedure","SD044","ear tip, earphone","item",0.43,2.00,0.00,"XXX",,"Mar04","K"
"92579","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92579","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar04","K"
"92582","RUC","Accessory, Procedure","SD044","ear tip, earphone","item",0.43,2.00,0.00,"XXX",,"Mar04","K"
"92582","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92582","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar04","K"
"92583","RUC","Accessory, Procedure","SD044","ear tip, earphone","item",0.43,2.00,0.00,"XXX",,"Mar04","K"
"92583","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92583","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Accessory, Procedure","SD047","eartip insert with sound tube","item",0.42,2.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,3.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,2.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,2.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,1.50,0.00,"XXX",,"Mar04","K"
"92584","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"XXX",,"Mar04","K"
"92584","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Accessory, Procedure","SD044","ear tip, earphone","item",0.43,2.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,4.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,3.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,2.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,2.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,0.00,"XXX",,"Mar04","K"
"92585","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Accessory, Procedure","SD044","ear tip, earphone","item",0.43,2.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Accessory, Procedure","SD062","electrode, surface","item",0.88,3.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,3.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,5.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,2.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,2.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,0.00,"XXX",,"Mar04","K"
"92586","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar04","K"
"92587","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,"CPT12","May 43"
"92587","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT12","May 43"
"92587","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT12","May 43"
"92587","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT12","May 43"
"92588","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,"CPT12","May 43"
"92588","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT12","May 43"
"92588","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT12","May 43"
"92588","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,"CPT12","May 43"
"92590","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92591","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92592","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92593","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92594","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92595","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"92596","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"Mar04","K"
"92597","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT10","55"
"92597","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT10","55"
"92597","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,,"XXX",,"CPT10","55"
"92597","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,1.00,,"XXX",,"CPT10","55"
"92597","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"XXX",,"CPT10","55"
"92597","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"XXX",,,
"92597","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,,"XXX",,,
"92601","RUC","Kit, Pack, Tray","SA032","kit, tangible reinforcement-reward for children","kit",1.50,1.00,,"XXX",,,
"92601","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,,
"92601","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92601","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,,
"92601","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,,
"92601","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92601","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92601","RUC","Office Supply, Grocery","SK079","tape, toupee","inch",0.04,105.00,,"XXX",,,
"92602","RUC","Kit, Pack, Tray","SA032","kit, tangible reinforcement-reward for children","kit",1.50,1.00,,"XXX",,,
"92602","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,,
"92602","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92602","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,,
"92602","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92602","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92602","RUC","Office Supply, Grocery","SK079","tape, toupee","inch",0.04,105.00,,"XXX",,,
"92603","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,,
"92603","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92603","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX",,,
"92603","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,,
"92603","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92603","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92603","RUC","Office Supply, Grocery","SK079","tape, toupee","inch",0.04,105.00,,"XXX",,,
"92604","RUC","Accessory, Procedure","SD045","ear tip, immittance","item",0.16,1.00,,"XXX",,,
"92604","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92604","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,,
"92604","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"92604","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92604","RUC","Office Supply, Grocery","SK079","tape, toupee","inch",0.04,105.00,,"XXX",,,
"92605","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 44"
"92605","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,"CPT12","May 44"
"92605","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,"CPT12","May 44"
"92605","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,1.00,,"XXX",,"CPT12","May 44"
"92605","RUC","Office Supply, Grocery","SK055","paper, card stock (8.5 x 11)","item",0.03,10.00,,"XXX",,"CPT12","May 44"
"92605","RUC","Office Supply, Grocery","SK084","Velcro, standard","foot",0.37,3.00,,"XXX",,"CPT12","May 44"
"92606","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92606","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92606","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92606","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,1.00,,"XXX",,,
"92606","RUC","Office Supply, Grocery","SK055","paper, card stock (8.5 x 11)","item",0.03,10.00,,"XXX",,,
"92606","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92606","RUC","Office Supply, Grocery","SK070","Rep-band, light (6yd uou)","item",6.12,1.00,,"XXX",,,
"92606","RUC","Office Supply, Grocery","SK084","Velcro, standard","foot",0.37,3.00,,"XXX",,,
"92607","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92607","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92607","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92607","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,1.00,,"XXX",,,
"92607","RUC","Office Supply, Grocery","SK055","paper, card stock (8.5 x 11)","item",0.03,10.00,,"XXX",,,
"92607","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92607","RUC","Office Supply, Grocery","SK070","Rep-band, light (6yd uou)","item",6.12,1.00,,"XXX",,,
"92607","RUC","Office Supply, Grocery","SK084","Velcro, standard","foot",0.37,3.00,,"XXX",,,
"92608","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.33,,"XXX",,,
"92608","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.30,,"XXX",,,
"92608","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,0.33,,"XXX",,,
"92608","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,0.33,,"XXX",,,
"92608","RUC","Office Supply, Grocery","SK055","paper, card stock (8.5 x 11)","item",0.03,3.30,,"XXX",,,
"92608","RUC","Office Supply, Grocery","SK068","razor","item",0.38,0.33,,"XXX",,,
"92608","RUC","Office Supply, Grocery","SK070","Rep-band, light (6yd uou)","item",6.12,0.33,,"XXX",,,
"92608","RUC","Office Supply, Grocery","SK084","Velcro, standard","foot",0.37,1.00,,"XXX",,,
"92609","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92609","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,10.00,,"XXX",,,
"92609","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92609","RUC","Office Supply, Grocery","SK044","lamination sheet (letter size)","item",0.66,1.00,,"XXX",,,
"92609","RUC","Office Supply, Grocery","SK055","paper, card stock (8.5 x 11)","item",0.03,10.00,,"XXX",,,
"92609","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"92609","RUC","Office Supply, Grocery","SK070","Rep-band, light (6yd uou)","item",6.12,1.00,,"XXX",,,
"92609","RUC","Office Supply, Grocery","SK084","Velcro, standard","foot",0.37,3.00,,"XXX",,,
"92610","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT10","55"
"92610","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT10","55"
"92610","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,,"XXX",,"CPT10","55"
"92610","RUC","Pharmacy, Rx","SH017","barium, honey (Varibar)","ml",0.21,8.00,,"XXX",,"CPT10","55"
"92610","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,"CPT10","55"
"92610","RUC","Pharmacy, NonRx","SJ044","pre-thickened juice (4oz uou)","item",0.83,2.00,,"XXX",,"CPT10","55"
"92610","RUC","Pharmacy, NonRx","SJ058","thick-it pack","item",0.35,3.00,,"XXX",,"CPT10","55"
"92610","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,2.00,,"XXX",,"CPT10","55"
"92610","RUC","Office Supply, Grocery","SK017","cookie (each)","item",0.06,1.00,,"XXX",,"CPT10","55"
"92610","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,6.00,,"XXX",,"CPT10","55"
"92610","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,2.00,,"XXX",,"CPT10","55"
"92611","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92611","RUC","Pharmacy, Rx","SH017","barium, honey (Varibar)","ml",0.21,8.00,,"XXX",,,
"92611","RUC","Pharmacy, Rx","SH018","barium, nectar (Varibar)","ml",0.02,240.00,,"XXX",,,
"92611","RUC","Pharmacy, Rx","SH019","barium, pudding (Varibar)","ml",0.21,8.00,,"XXX",,,
"92611","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92611","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,,
"92611","RUC","Office Supply, Grocery","SK017","cookie (each)","item",0.06,1.00,,"XXX",,,
"92611","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,1.00,,"XXX",,,
"92611","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,2.00,,"XXX",,,
"92612","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92612","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"92612","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"XXX",,,
"92612","RUC","Accessory, Procedure","SD070","endosheath","item",9.50,1.00,,"XXX",,,
"92612","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"XXX",,,
"92612","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,,"XXX",,,
"92612","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"XXX",,,
"92612","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"92612","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,3.00,,"XXX",,,
"92612","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,,"XXX",,,
"92612","RUC","Pharmacy, Rx","SH048","lidocaine 2% jelly, topical  (Xylocaine)","ml",0.64,5.00,,"XXX",,,
"92612","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92612","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"XXX",,,
"92612","RUC","Pharmacy, NonRx","SJ058","thick-it pack","item",0.35,3.00,,"XXX",,,
"92612","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK004","apple sauce","oz",0.05,3.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,6.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,3.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,3.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,21.00,,"XXX",,,
"92612","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,2.00,,"XXX",,,
"92612","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"XXX",,,
"92613","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"92614","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92614","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"92614","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"XXX",,,
"92614","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"XXX",,,
"92614","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,,"XXX",,,
"92614","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"XXX",,,
"92614","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,3.00,,"XXX",,,
"92614","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92614","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"XXX",,,
"92614","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92614","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,,
"92614","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,3.00,,"XXX",,,
"92614","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"XXX",,,
"92615","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"92616","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"92616","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"92616","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"XXX",,,
"92616","RUC","Accessory, Procedure","SD132","tubing, suction, non-latex (6ft uou)","item",1.79,1.00,,"XXX",,,
"92616","RUC","Accessory, Procedure","SD133","tubing, suction, non-latex (6ft) with Poole tip (1)","item",3.75,1.00,,"XXX",,,
"92616","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"XXX",,,
"92616","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,3.00,,"XXX",,,
"92616","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,,
"92616","RUC","Pharmacy, NonRx","SJ037","oxymetazoline nasal spray (Afrin) (15ml uou)","item",1.83,1.00,,"XXX",,,
"92616","RUC","Pharmacy, NonRx","SJ058","thick-it pack","item",0.35,3.00,,"XXX",,,
"92616","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK004","apple sauce","oz",0.05,3.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,6.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,3.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK032","film, type 667 Polaroid (per exposure)","item",1.00,3.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,21.00,,"XXX",,,
"92616","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,2.00,,"XXX",,,
"92616","RUC","Infection Control","SM014","endoscope anti-fog solution","ml",1.06,1.00,,"XXX",,,
"92617","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"92618","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 44"
"92620","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,4.00,0.00,"XXX",,,
"92621","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,2.00,0.00,"XXX",,,
"92625","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,3.00,0.00,"ZZZ",,,
"92626","RUC","Kit, Pack, Tray","SA033","kit, therapeutic toys-games","kit",0.20,1.00,0.00,"XXX",,"CPT06",
"92626","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,4.00,0.00,"XXX",,"CPT06",
"92627","RUC","Kit, Pack, Tray","SA033","kit, therapeutic toys-games","kit",0.20,1.00,0.00,"ZZZ",,"CPT06",
"92627","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,4.00,0.00,"ZZZ",,"CPT06",
"92630","RUC","Kit, Pack, Tray","SA033","kit, therapeutic toys-games","kit",0.20,1.00,0.00,"XXX",,"CPT06",
"92630","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.10,0.00,"XXX",,"CPT06",
"92633","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.10,0.00,"XXX",,"CPT06",
"92640","RUC","Office Supply, Grocery","SK008","audiology scoring forms","item",0.08,1.00,0.00,"XXX",,"CPT07",
"92640","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.10,0.00,"XXX",,"OCT08","5y"
"92640","RUC","Office Supply, Grocery","SK068","razor","item",0.38,0.25,0.00,"XXX",,"CPT07",
"92700","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"92950","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,"Mar03","12"
"92950","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"000",,"Mar03","12"
"92950","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"000",,"Mar03","12"
"92950","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,3.00,,"000",,"Mar03","12"
"92950","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"000",,"Mar03","12"
"92950","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,375.00,,"000",,"Mar03","12"
"92950","RUC","Accessory, Procedure","SD106","pad, cardioversion R2 (2 pack)","item",29.75,1.00,,"000",,"Mar03","12"
"92950","RUC","Accessory, Procedure","SD182","mask, CPR (RespAide)","item",16.95,1.00,,"000",,"Mar03","12"
"92950","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"000",,"Mar03","12"
"92950","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,8.00,,"000",,"Mar03","12"
"92950","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,10.00,,"000",,"Mar03","12"
"92950","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.33,,"000",,"Mar03","12"
"92950","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000",,"Mar03","12"
"92953","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92960","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"92960","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"92960","RUC","Accessory, Procedure","SD106","pad, cardioversion R2 (2 pack)","item",29.75,1.00,,"000",,,
"92960","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"000",,,
"92961","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92970","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92971","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92973","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"92974","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"92975","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92977","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX","90780",,
"92977","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX","90780",,
"92977","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX","90780",,
"92977","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX","90780",,
"92977","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","90780",,
"92977","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX","90780",,
"92977","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX","90780",,
"92977","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"XXX","90780",,
"92977","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX","90780",,
"92977","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX","90780",,
"92977","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX","90780",,
"92977","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90780",,
"92977","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX","90780",,
"92978","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"92979","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"92986","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"92987","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"92990","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"92992","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"92993","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"090",,,
"92997","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"92998","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93000","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX",,,
"93000","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,,
"93000","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX",,,
"93005","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX",,,
"93005","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,,
"93005","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX",,,
"93010","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93015","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 53"
"93015","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX",,"CPT13","May 53"
"93015","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 53"
"93015","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,15.00,,"XXX",,"CPT13","May 53"
"93015","RUC","Office Supply, Grocery","SK072","sandpaper (per sheet)","item",0.39,1.00,,"XXX",,"CPT13","May 53"
"93017","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX",,,
"93017","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"93017","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"93017","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,15.00,,"XXX",,,
"93017","RUC","Office Supply, Grocery","SK072","sandpaper (per sheet)","item",0.39,1.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"93024","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"93024","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"93024","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,,
"93024","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"93024","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"93024","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"93024","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93025","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"93025","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"93025","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"93025","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,7.00,,"XXX",,,
"93025","RUC","Accessory, Procedure","SD115","sensor, microvolt (Micro-V)","item",12.00,7.00,,"XXX",,,
"93025","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,,
"93025","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,1.00,,"XXX",,,
"93025","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,10.00,,"XXX",,,
"93025","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"93025","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"XXX",,,
"93040","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,5.00,,"XXX",,,
"93040","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,,
"93040","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX",,,
"93041","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,5.00,,"XXX",,,
"93041","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,,
"93041","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX",,,
"93042","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93224","RUC","Kit, Pack, Tray","SA002","kit, ambulatory Holter","kit",4.44,1.00,0.00,"XXX",,"Mar04","L"
"93224","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,20.00,0.00,"XXX",,"Mar04","L"
"93225","RUC","Kit, Pack, Tray","SA002","kit, ambulatory Holter","kit",4.44,1.00,0.00,"XXX",,"Mar04","L"
"93226","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"Mar04","L"
"93227","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"Mar04","L"
"93228","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","25"
"93229","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,42.00,,"XXX",,"CPT11",
"93229","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT11",
"93229","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,14.00,,"XXX",,"CPT11",
"93229","RUC","Office Supply, Grocery","SK106","device shipping cost","item",12.00,2.00,,"XXX",,"CPT11",
"93229","RUC","Office Supply, Grocery","SK113","communication, wireless per service","item",57.78,1.00,,"XXX",,"CPT11",
"93268","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT11",
"93268","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,60.00,,"XXX",,"CPT11",
"93268","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,12.00,,"XXX",,"CPT11",
"93268","RUC","Office Supply, Grocery","SK106","device shipping cost","item",12.00,1.00,,"XXX",,"CPT11",
"93268","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,"CPT11",
"93268","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,,"XXX",,"CPT11",
"93270","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","L"
"93271","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","88171","Apr05",
"93271","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,60.00,,"XXX",,"Apr05",
"93271","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,12.00,,"XXX",,"Apr05",
"93271","RUC","Office Supply, Grocery","SK106","device shipping cost","item",12.00,1.00,,"XXX",,"Apr05",
"93271","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,"Apr05",
"93271","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,6.00,,"XXX",,"Apr05",
"93272","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","L"
"93278","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,0.00,"XXX",,"Mar04","L"
"93278","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Mar04","L"
"93278","RUC","Office Supply, Grocery","SK072","sandpaper (per sheet)","item",0.39,1.00,0.00,"XXX",,"Mar04","L"
"93279","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93279","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93279","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93279","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93279","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93280","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93280","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93280","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93280","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93280","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,15.00,0.00,"XXX",,"CPT09","25"
"93281","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93281","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93281","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93281","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93281","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,15.00,0.00,"XXX",,"CPT09","25"
"93282","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93282","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93282","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93282","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93282","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,15.00,0.00,"XXX",,"CPT09","25"
"93283","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93283","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93283","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93283","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93283","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,20.00,0.00,"XXX",,"CPT09","25"
"93284","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93284","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93284","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93284","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93284","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,20.00,0.00,"XXX",,"CPT09","25"
"93285","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93285","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93285","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93285","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93285","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,20.00,0.00,"XXX",,"CPT09","25"
"93286","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93286","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT09","25"
"93286","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,5.00,0.00,"XXX",,"CPT09","25"
"93286","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,5.00,0.00,"XXX",,"CPT09","25"
"93286","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93286","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93287","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93287","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT09","25"
"93287","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,5.00,0.00,"XXX",,"CPT09","25"
"93287","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,5.00,0.00,"XXX",,"CPT09","25"
"93287","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93287","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93288","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93288","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93288","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93288","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93288","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93289","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93289","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93289","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93289","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93289","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,15.00,0.00,"XXX",,"CPT09","25"
"93290","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93290","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93290","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93290","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93290","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93291","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93291","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93291","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93291","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93291","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,15.00,0.00,"XXX",,"CPT09","25"
"93292","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT09","25"
"93292","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,0.00,"XXX",,"CPT09","25"
"93292","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,4.00,0.00,"XXX",,"CPT09","25"
"93292","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"CPT09","25"
"93292","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93293","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93294","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","25"
"93295","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","25"
"93296","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,10.00,0.00,"XXX",,"CPT09","25"
"93297","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","25"
"93298","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","25"
"93299","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","25"
"93303","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93303","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93303","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"93303","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,,
"93303","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,,
"93303","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93303","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"93303","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.03,,"XXX",,,
"93303","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,,
"93304","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93304","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93304","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"93304","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,,
"93304","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,,
"93304","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93304","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"93304","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.03,,"XXX",,,
"93304","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,,
"93306","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT09","26"
"93306","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT09","26"
"93306","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,"CPT09","26"
"93306","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,"CPT09","26"
"93306","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,"CPT09","26"
"93306","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,"CPT09","26"
"93306","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,"CPT09","26"
"93307","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT10","56"
"93307","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT10","56"
"93307","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,"CPT10","56"
"93307","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,"CPT10","56"
"93307","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,"CPT10","56"
"93307","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,"CPT10","56"
"93307","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,"CPT10","56"
"93308","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93308","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93308","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"93308","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,,
"93308","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"93308","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.03,,"XXX",,,
"93308","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,,
"93312","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"XXX",,,
"93312","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"93312","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"93312","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"XXX",,,
"93312","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"93312","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"93312","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"93312","RUC","Hypodermic, IV","SC003","arm board","item",0.59,1.00,,"XXX",,,
"93312","RUC","Hypodermic, IV","SC014","Interlink adaptor","item",1.72,1.00,,"XXX",,,
"93312","RUC","Hypodermic, IV","SC015","Interlink vial access","item",2.04,1.00,,"XXX",,,
"93312","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,,
"93312","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,,
"93312","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"XXX",,,
"93312","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,,"XXX",,,
"93312","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,,"XXX",,,
"93312","RUC","Pharmacy, Rx","SH036","glycopyrrolate inj (2ml uou)","item",2.09,1.00,,"XXX",,,
"93312","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,,
"93312","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"XXX",,,
"93312","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,,
"93312","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,,
"93312","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"93312","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,20.00,,"XXX",,,
"93312","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"93312","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93312","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"93312","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.20,,"XXX",,,
"93313","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93314","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"XXX",,,
"93314","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"93314","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"93314","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"XXX",,,
"93314","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"93314","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"93314","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"93314","RUC","Hypodermic, IV","SC003","arm board","item",0.59,1.00,,"XXX",,,
"93314","RUC","Hypodermic, IV","SC014","Interlink adaptor","item",1.72,1.00,,"XXX",,,
"93314","RUC","Hypodermic, IV","SC015","Interlink vial access","item",2.04,1.00,,"XXX",,,
"93314","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,,
"93314","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,,
"93314","RUC","Accessory, Procedure","SD006","bite block","item",1.50,1.00,,"XXX",,,
"93314","RUC","Accessory, Procedure","SD127","tube, suction NG (Salem sump)","item",3.21,1.00,,"XXX",,,
"93314","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,,"XXX",,,
"93314","RUC","Pharmacy, Rx","SH036","glycopyrrolate inj (2ml uou)","item",2.09,1.00,,"XXX",,,
"93314","RUC","Pharmacy, Rx","SH040","heparin lock flush soln","item",1.16,1.00,,"XXX",,,
"93314","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,,"XXX",,,
"93314","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,,
"93314","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,,
"93314","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"93314","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,20.00,,"XXX",,,
"93314","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"93314","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93314","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"93314","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.20,,"XXX",,,
"93315","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93316","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93317","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93318","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93320","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93321","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93325","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93350","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93350","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93350","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"93350","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,180.00,,"XXX",,,
"93350","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,0.20,,"XXX",,,
"93350","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93350","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,0.20,,"XXX",,,
"93350","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.03,,"XXX",,,
"93350","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,,
"93351","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,13.00,,"XXX",,"CPT09","27"
"93351","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,"CPT09","27"
"93351","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,15.00,,"XXX",,"CPT09","27"
"93351","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Office Supply, Grocery","SK072","sandpaper (per sheet)","item",0.39,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,,"XXX",,"CPT09","27"
"93351","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"XXX",,"CPT09","27"
"93352","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Hypodermic, IV","SC015","Interlink vial access","item",2.04,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"ZZZ",,"CPT09","27"
"93352","RUC","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,1.00,,"ZZZ",,"CPT09","27"
"93451","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,0.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93451","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93451","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93451","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93451","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93451","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93451","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93451","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93451","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,0.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93452","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93452","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93452","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93452","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93452","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93452","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93452","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93452","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93453","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93453","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93453","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93453","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93453","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93453","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93453","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93453","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,2.30,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,0.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93454","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93454","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93454","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93454","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93454","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93454","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93454","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93454","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,4.30,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,0.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93455","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93455","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93455","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93455","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93455","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93455","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93455","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93455","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,2.30,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93456","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93456","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93456","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93456","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93456","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93456","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93456","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93456","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,4.30,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93457","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93457","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93457","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93457","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93457","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93457","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93457","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93457","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,3.30,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,0.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93458","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93458","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93458","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93458","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93458","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93458","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93458","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93458","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,5.30,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,0.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93459","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93459","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93459","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93459","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93459","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93459","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93459","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93459","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,3.30,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93460","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93460","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93460","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93460","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93460","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93460","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93460","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93460","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,5.30,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC060","syringe, pressure (radiology)","item",8.17,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Hypodermic, IV","SC082","syringe 12ml, coronary control","item",7.00,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD090","guidewire, STIFF","item",23.90,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD131","tubing, pressure","item",3.42,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD140","bag system, 1000ml (for angiography waste fluids)","item",19.00,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD156","catheter, Swan Ganz","item",65.00,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD180","manifold (for angiography)","item",6.68,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD210","transducer, pressure monitoring (for angiography)","item",9.52,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD211","tubing, pressure injection line (angiography)","item",3.17,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD212","tubing, sterile, connecting (fluid administration)","item",1.95,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Accessory, Procedure","SD213","tubing, sterile, non-vented (fluid administration)","item",0.94,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"000",,"CPT11","40"
"93461","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT11","40"
"93461","RUC","Pharmacy, Rx","SH026","Conray Inj (iothalamate 43%)","ml",0.08,60.00,0.00,"000",,"CPT11","40"
"93461","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT11","40"
"93461","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"CPT11","40"
"93461","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"000",,"CPT11","40"
"93461","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT11","40"
"93461","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Lab","SL156","cup, sterile, 12-16 oz","item",0.76,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT11","40"
"93461","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,1.00,0.00,"000",,"CPT11","40"
"93464","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT11","40"
"93503","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT08","rv"
"93505","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,3.00,0.00,"000",,"Apr07","R"
"93505","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Gown, Drape","SB020","drape-towel, sterile OR blue (2 pk uou)","item",1.65,4.00,0.00,"000",,"Apr07","R"
"93505","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,0.00,"000",,"Apr07","R"
"93505","RUC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Hypodermic, IV","SC026","needle, 15-16g","item",0.23,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,4.00,0.00,"000",,"Apr07","R"
"93505","RUC","Hypodermic, IV","SC076","needle, arterial, percutaneous","item",3.15,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Accessory, Procedure","SD169","forceps, Kelly","item",2.33,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Accessory, Procedure","SD208","towel clamp, plastic","item",0.55,4.00,0.00,"000",,"Apr07","R"
"93505","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"000",,"Apr07","R"
"93505","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,30.00,0.00,"000",,"Apr07","R"
"93505","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"Apr07","R"
"93505","RUC","Pharmacy, NonRx","SJ079","basin, sterile 500cc","item",3.00,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,10.00,0.00,"000",,"Apr07","R"
"93505","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"Apr07","R"
"93505","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,0.00,"000",,"Apr07","R"
"93505","RUC","Infection Control","SM023","scrub brush (impregnated)","item",0.59,2.00,0.00,"000",,"Apr07","R"
"93530","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93531","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93532","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93533","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93561","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Feb05",
"93562","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Feb05",
"93566","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"ZZZ",,"CPT11","40"
"93566","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"ZZZ",,"CPT11","40"
"93566","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"ZZZ",,"CPT11","40"
"93566","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"ZZZ",,"CPT11","40"
"93566","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"ZZZ",,"CPT11","40"
"93567","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"ZZZ",,"CPT11","40"
"93567","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"ZZZ",,"CPT11","40"
"93567","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"ZZZ",,"CPT11","40"
"93567","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"ZZZ",,"CPT11","40"
"93567","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"ZZZ",,"CPT11","40"
"93568","RUC","Hypodermic, IV","SC098","catheter, angiographic, Berman","item",,1.00,0.00,"ZZZ",,"CPT11","40"
"93568","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,4.00,0.00,"ZZZ",,"CPT11","40"
"93568","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"ZZZ",,"CPT11","40"
"93568","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,0.00,"ZZZ",,"CPT11","40"
"93568","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"ZZZ",,"CPT11","40"
"93571","RUC","NO DETAILS","SX001","ACTIVE",,,,,"ZZZ",,,
"93572","RUC","NO DETAILS","SX001","ACTIVE",,,,,"ZZZ",,,
"93580","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93581","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93600","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93602","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93603","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93609","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Jan04","20"
"93610","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93612","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93613","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93615","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93616","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93618","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93619","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93620","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93621","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93622","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93623","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93624","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93631","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93640","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93641","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93642","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,,"000",,,
"93642","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"93642","RUC","Accessory, Procedure","SD106","pad, cardioversion R2 (2 pack)","item",29.75,1.00,,"000",,,
"93642","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"000",,,
"93650","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,,
"93660","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"Mar04","L"
"93660","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"000",,"Mar04","L"
"93660","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"Mar04","L"
"93660","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,0.00,"000",,"Mar04","L"
"93660","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,0.00,"000",,"Mar04","L"
"93660","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,12.00,0.00,"000",,"Mar04","L"
"93662","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"93668","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"93668","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,1.00,,"XXX",,,
"93668","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"93668","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"93668","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"93701","RUC","Accessory, Procedure","SD116","sensors, bioimpendance (4 pack uou)","item",9.95,1.00,,"XXX",,,
"93701","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"93724","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"Jan04","20"
"93724","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,5.00,0.00,"000",,"Jan04","20"
"93724","RUC","Pharmacy, NonRx","SJ019","electrode adhesive disk","item",0.08,5.00,0.00,"000",,"Jan04","20"
"93724","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"000",,"Jan04","20"
"93724","RUC","Office Supply, Grocery","SK060","paper, recording, roll (per foot)","foot",0.08,4.00,0.00,"000",,"Jan04","20"
"93740","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93745","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"93750","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT10","7"
"93770","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"93784","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,3.00,0.00,"XXX",,"Mar04","O"
"93786","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,3.00,0.00,"XXX",,"Mar04","O"
"93788","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT11",
"93790","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","20"
"93797","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"Jan04","20"
"93798","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,0.00,"000",,"Jan04","20"
"93798","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,0.00,"000",,"Jan04","20"
"93798","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"000",,"Jan04","20"
"93799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"93880","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93880","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93880","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93880","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"93880","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"93880","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"93880","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93880","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93880","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93880","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93882","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93882","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93882","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93882","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,,
"93882","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"93882","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"93882","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93882","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93882","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93882","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93886","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93886","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93886","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93886","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"93886","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"93886","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"93886","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93886","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93886","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93886","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93888","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93888","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93888","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93888","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,,
"93888","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"93888","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"93888","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93888","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93888","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93888","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93890","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"93890","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,,
"93890","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,0.00,"XXX",,,
"93890","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,,
"93890","RUC","Accessory, Procedure","SD170","gas, 5% CO2 - balance air","liter",0.13,55.00,0.00,"XXX",,,
"93890","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,8.00,0.00,"XXX",,,
"93890","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"93890","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,,
"93890","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,,
"93890","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,0.00,"XXX",,,
"93890","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,0.00,"XXX",,,
"93892","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"93892","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,,
"93892","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"93892","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,0.00,"XXX",,,
"93892","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,,
"93892","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,0.00,"XXX",,,
"93892","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,0.00,"XXX",,,
"93893","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"93893","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,,
"93893","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"XXX",,,
"93893","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,,
"93893","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,6.00,0.00,"XXX",,,
"93893","RUC","Accessory, Procedure","SD124","tourniquet, non-latex 1in x 18in","item",0.22,1.00,0.00,"XXX",,,
"93893","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,,
"93893","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,6.00,0.00,"XXX",,,
"93893","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,,
"93893","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,30.00,0.00,"XXX",,,
"93893","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,1.00,0.00,"XXX",,,
"93893","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"93893","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,0.00,"XXX",,,
"93893","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,,
"93893","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,0.00,"XXX",,,
"93893","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,0.00,"XXX",,,
"93922","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT11","41"
"93922","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,20.00,0.00,"XXX",,"CPT11","41"
"93922","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,0.00,"XXX",,"CPT11","41"
"93922","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,0.00,"XXX",,"CPT11","41"
"93922","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"CPT11","41"
"93923","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT11","41"
"93923","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,0.00,"XXX",,"CPT11","41"
"93923","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,0.00,"XXX",,"CPT11","41"
"93923","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,0.00,"XXX",,"CPT11","41"
"93923","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"CPT11","41"
"93924","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT11","41"
"93924","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,0.00,"XXX",,"CPT11","41"
"93924","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,0.00,"XXX",,"CPT11","41"
"93924","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,0.00,"XXX",,"CPT11","41"
"93924","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,0.00,"XXX",,"CPT11","41"
"93925","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,50.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT13","May 54"
"93925","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,"CPT13","May 54"
"93925","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT13","May 54"
"93926","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,"CPT13","May 54"
"93926","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT13","May 54"
"93930","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93930","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93930","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93930","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,,
"93930","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"93930","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"93930","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93930","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93930","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93930","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93931","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93931","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93931","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93931","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"93931","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"93931","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"93931","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93931","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93931","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93931","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93965","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93965","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93965","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"93965","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,,
"93965","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93965","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93965","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93970","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT13","May 54"
"93970","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,"CPT13","May 54"
"93970","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT13","May 54"
"93971","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,"CPT13","May 54"
"93971","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT13","May 54"
"93975","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93975","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93975","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93975","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"93975","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"93975","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"93975","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93975","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93975","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93975","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93976","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93976","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93976","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93976","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,,
"93976","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"93976","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"93976","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93976","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93976","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93976","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93978","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93978","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93978","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93978","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,,"XXX",,,
"93978","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,3.00,,"XXX",,,
"93978","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"93978","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93978","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93978","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93978","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93979","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93979","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93979","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93979","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,40.00,,"XXX",,,
"93979","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"93979","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,1.00,,"XXX",,,
"93979","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93979","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93979","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93979","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"93980","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Mar04","V"
"93980","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,0.00,"XXX",,"Mar04","V"
"93981","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Mar04","V"
"93982","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT08","24"
"93982","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT08","24"
"93982","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,"CPT08","24"
"93982","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,,"XXX",,"CPT08","24"
"93982","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT08","24"
"93990","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"93990","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,,
"93990","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"93990","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,,
"93990","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX",,,
"93990","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,,
"93990","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"93990","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX",,,
"93990","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"93990","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"94002","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"94003","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"94004","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"94005","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"94010","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,,
"94010","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,,
"94010","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,,
"94010","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,,
"94011","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT10","21"
"94012","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT10","21"
"94013","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT10","21"
"94014","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX","Feb05","Feb05",
"94014","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,0.00,"XXX",,"Feb05",
"94014","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94014","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94014","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Feb05",
"94015","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX","Feb05","Feb05",
"94015","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,0.00,"XXX",,"Feb05",
"94015","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94015","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94015","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Feb05",
"94016","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"94060","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"94060","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,,
"94060","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,,
"94060","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,,"XXX",,,
"94060","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,,
"94060","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,,
"94070","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,0.00,"XXX",,"Mar04","G"
"94070","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Mar04","G"
"94150","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,,
"94150","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,,
"94150","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,,
"94150","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,,
"94200","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,0.00,"XXX",,"Feb05",
"94200","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,0.00,"XXX",,"Feb05",
"94200","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94200","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94200","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Feb05",
"94250","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX","Feb05","Feb05",
"94250","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX","Feb05","Feb05",
"94250","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,0.00,"XXX",,"Feb05",
"94250","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX","Feb05","Feb05",
"94250","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX","Feb05","Feb05",
"94375","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"94375","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,,
"94375","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,,
"94375","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,,
"94375","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,,
"94375","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"94400","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Feb05",
"94400","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Feb05",
"94400","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94400","RUC","Accessory, Procedure","SD170","gas, 5% CO2 - balance air","liter",0.13,1.00,0.00,"XXX",,"Feb05",
"94400","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Feb05",
"94400","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Feb05",
"94450","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"Mar03","12"
"94450","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"Mar03","12"
"94450","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,1.00,,"XXX",,"Mar03","12"
"94450","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,"Mar03","12"
"94450","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"Mar03","12"
"94450","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,3.00,,"XXX",,"Mar03","12"
"94450","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"XXX",,"Mar03","12"
"94452","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,225.00,0.00,"XXX",,,
"94452","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,0.00,"XXX",,,
"94452","RUC","Accessory, Procedure","SD105","oxygen mask (1) and tubing (7ft)","item",0.96,1.00,0.00,"XXX",,,
"94453","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,150.00,0.00,"XXX",,,
"94453","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,375.00,0.00,"XXX",,,
"94453","RUC","Accessory, Procedure","SD100","nasal cannula","item",0.73,1.00,0.00,"XXX",,,
"94453","RUC","Accessory, Procedure","SD105","oxygen mask (1) and tubing (7ft)","item",0.96,1.00,0.00,"XXX",,,
"94620","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,0.00,"XXX",,"Feb05",
"94620","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,0.00,"XXX",,"Feb05",
"94620","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94620","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,0.00,"XXX",,"Feb05",
"94621","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"94621","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX",,,
"94621","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,,
"94621","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,150.00,,"XXX",,,
"94621","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,,
"94621","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,,
"94621","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"94621","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,15.00,,"XXX",,,
"94621","RUC","Pharmacy, NonRx","SJ057","thermometer (single use)","item",0.10,1.00,,"XXX",,,
"94621","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"94621","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"94621","RUC","Lab","SL048","desiccant-absorber","item",0.15,1.00,,"XXX",,,
"94640","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"94640","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,,"XXX",,,
"94640","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"94642","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"94642","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"94642","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,,"XXX",,,
"94642","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"94642","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"94642","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"94644","RUC","Kit, Pack, Tray","SA098","kit, nebulizer, w-tubing and aerosole mask (Hope)","kit",19.64,1.00,,"XXX",,,
"94644","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT07",
"94644","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"CPT07",
"94644","RUC","Accessory, Procedure","SD077","gas, air","cu ft",0.02,19.00,0.00,"XXX",,"CPT07",
"94644","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"CPT07",
"94644","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,2.00,0.00,"XXX",,"CPT07",
"94645","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"CPT07",
"94645","RUC","Accessory, Procedure","SD077","gas, air","cu ft",0.02,19.00,0.00,"XXX",,"CPT07",
"94645","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"CPT07",
"94645","RUC","Lab","SL107","phosphate buffered saline solution","ml",0.04,2.00,0.00,"XXX",,"CPT07",
"94660","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Feb05",
"94660","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Feb05",
"94662","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"94664","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,,
"94664","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,0.00,"XXX",,,
"94664","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,,
"94664","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,0.00,"XXX",,,
"94667","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb05",
"94668","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Feb05",
"94680","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Feb05",
"94680","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"94680","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,150.00,0.00,"XXX",,"Feb05",
"94680","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94680","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Feb05",
"94680","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Feb05",
"94680","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94681","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Feb05",
"94681","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"94681","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,150.00,0.00,"XXX",,"Feb05",
"94681","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94681","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"Feb05",
"94681","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Feb05",
"94681","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94690","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Feb05",
"94690","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,0.00,"XXX",,"Feb05",
"94690","RUC","Accessory, Procedure","SD085","gas, test mixture","liter",0.07,150.00,0.00,"XXX",,"Feb05",
"94690","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94690","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,5.00,0.00,"XXX",,"Feb05",
"94690","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Feb05",
"94690","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,0.00,"XXX",,"Feb05",
"94690","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94726","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 29"
"94726","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,"CPT12","May 29"
"94726","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,50.00,,"XXX",,"CPT12","May 29"
"94726","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT12","May 29"
"94726","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,"CPT12","May 29"
"94726","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT12","May 29"
"94726","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,50.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Pharmacy, Rx","SH042","inhalant","gm",0.78,0.25,,"XXX",,"CPT12","May 29"
"94727","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT12","May 29"
"94727","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT12","May 29"
"94728","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,"CPT12","May 29"
"94729","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ",,"CPT12","May 29"
"94729","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,,"ZZZ",,"CPT12","May 29"
"94729","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"ZZZ",,"CPT12","May 29"
"94729","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,,"ZZZ",,"CPT12","May 29"
"94729","RUC","Pharmacy, Rx","SH042","inhalant","gm",0.78,25.00,,"ZZZ",,"CPT12","May 29"
"94729","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"ZZZ",,"CPT12","May 29"
"94729","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"ZZZ",,"CPT12","May 29"
"94750","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"XXX",,"Feb05",
"94750","RUC","Accessory, Procedure","SD016","catheter, balloon, esophageal (pressure monitoring)","item",34.25,1.00,0.00,"XXX",,"Feb05",
"94750","RUC","Accessory, Procedure","SD075","filter, pulmonary function filter","item",1.44,1.00,0.00,"XXX",,"Feb05",
"94750","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,150.00,0.00,"XXX",,"Feb05",
"94750","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,0.00,"XXX",,"Feb05",
"94750","RUC","Accessory, Procedure","SD102","noseclips","item",0.71,1.00,0.00,"XXX",,"Feb05",
"94750","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX",,"Feb05",
"94750","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Feb05",
"94760","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,1.00,0.00,"XXX",,"CPT10","58"
"94760","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"CPT10","58"
"94761","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,1.00,0.00,"XXX",,"CPT10","58"
"94761","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"CPT10","58"
"94762","CMS","Office Supply, Grocery","SK095","battery, AA","item",0.45,6.00,0.00,"XXX",,"CPT13",
"94762","RUC","Wound Care, Dressings","SG006","adhesive remover, pad (acetone)","item",0.03,1.00,0.00,"XXX",,"CPT10","58"
"94762","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"CPT10","58"
"94762","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"CPT10","58"
"94762","CMS","Accessory, Procedure","SD278","Disposable oximeter cable","item",11.08,1.00,0.00,"XXX",,"CPT13",
"94770","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Apr08","ss"
"94772","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"94774","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"94775","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"94776","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"94777","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT07",
"94780","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,1.00,,"XXX",,"CPT12","May 30"
"94780","RUC","Accessory, Procedure","SD104","oximetry sensor wrap","item",0.50,1.00,,"XXX",,"CPT12","May 30"
"94781","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"CPT12","May 30"
"94799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"95004","RUC","Hypodermic, IV","SC023","multi-tine device","item",0.23,0.12,,"XXX",,"CPT08","rv"
"95004","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,0.02,,"XXX",,"CPT08","rv"
"95004","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,1.00,,"XXX",,"CPT08","rv"
"95004","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,1.00,,"XXX",,"CPT08","rv"
"95004","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,0.12,,"XXX",,"CPT08","rv"
"95004","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.05,,"XXX",,"CPT08","rv"
"95004","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,1.00,,"XXX",,"CPT08","rv"
"95012","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"CPT07",
"95012","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"CPT07",
"95012","RUC","Infection Control","SM028","filter, mouthpiece (NIOX)","item",4.60,1.00,0.00,"XXX",,"CPT07",
"95017","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.22,,"XXX",,"CPT13","May 33"
"95017","RUC","Gown, Drape","SB026","gown, patient","item",0.53,0.03,,"XXX",,"CPT13","May 33"
"95017","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,0.25,,"XXX",,"CPT13","May 33"
"95017","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.22,,"XXX",,"CPT13","May 33"
"95017","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,0.92,,"XXX",,"CPT13","May 33"
"95017","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,0.29,,"XXX",,"CPT13","May 33"
"95017","RUC","Hypodermic, IV","SC100","bifurcated needle or stylet","item",0.73,0.25,,"XXX",,"CPT13","May 33"
"95017","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,1.29,,"XXX",,"CPT13","May 33"
"95017","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,0.07,,"XXX",,"CPT13","May 33"
"95017","RUC","Pharmacy, Rx","SH101","negative control, allergy test","ml",5.08,2.0e-03,,"XXX",,"CPT13","May 33"
"95017","RUC","Pharmacy, Rx","SH102","positive control, allergy test","ml",17.28,2.0e-03,,"XXX",,"CPT13","May 33"
"95017","RUC","Pharmacy, Rx","SH104","kit, antigen, venom (5 insects)","ml",33.68,0.03,,"XXX",,"CPT13","May 33"
"95017","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.37,,"XXX",,"CPT13","May 33"
"95017","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,0.74,,"XXX",,"CPT13","May 33"
"95017","RUC","Lab","SL198","label, vial","item",2.7e-03,0.74,,"XXX",,"CPT13","May 33"
"95018","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.33,,"XXX",,"CPT13","May 33"
"95018","RUC","Gown, Drape","SB026","gown, patient","item",0.53,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,0.77,,"XXX",,"CPT13","May 33"
"95018","RUC","Hypodermic, IV","SC027","needle, 18-19g, filter","item",0.37,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,0.55,,"XXX",,"CPT13","May 33"
"95018","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,0.55,,"XXX",,"CPT13","May 33"
"95018","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Hypodermic, IV","SC100","bifurcated needle or stylet","item",0.73,0.44,,"XXX",,"CPT13","May 33"
"95018","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, Rx","SH066","sodium chloride 0.9% inj (10ml uou)","item",0.42,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, Rx","SH101","negative control, allergy test","ml",5.08,6.0e-03,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, Rx","SH102","positive control, allergy test","ml",17.28,6.0e-03,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, Rx","SH103","benzylpenicilloyl polylysine (eg, PrePen) 0.25ml uou","each",72.45,0.11,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, Rx","SH105","negative control, allergy intradermal test","ml",25.40,0.02,,"XXX",,"CPT13","May 33"
"95018","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 33"
"95018","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,0.33,,"XXX",,"CPT13","May 33"
"95018","RUC","Lab","SL198","label, vial","item",2.7e-03,0.33,,"XXX",,"CPT13","May 33"
"95024","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,0.06,,"XXX",,"CPT12","May 40"
"95024","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.12,,"XXX",,"CPT12","May 40"
"95024","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"XXX",,"CPT12","May 40"
"95024","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,3.00,,"XXX",,"CPT12","May 40"
"95024","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,0.12,,"XXX",,"CPT12","May 40"
"95024","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,1.00,,"XXX",,"CPT12","May 40"
"95024","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,1.00,,"XXX",,"CPT12","May 40"
"95024","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,0.06,,"XXX",,"CPT12","May 40"
"95024","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"XXX",,"CPT12","May 40"
"95024","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,1.00,,"XXX",,"CPT12","May 40"
"95024","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX",,"CPT12","May 40"
"95027","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.02,,"XXX",,"CPT08","rv"
"95027","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,0.02,,"XXX",,"CPT08","rv"
"95027","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,0.17,,"XXX",,"CPT08","rv"
"95027","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,0.50,,"XXX",,"CPT08","rv"
"95027","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,0.33,,"XXX",,"CPT08","rv"
"95027","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,0.12,,"XXX",,"CPT08","rv"
"95027","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.17,,"XXX",,"CPT08","rv"
"95027","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,1.00,,"XXX",,"CPT08","rv"
"95027","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX",,"CPT08","rv"
"95028","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"95028","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,1.00,,"XXX",,,
"95044","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,0.27,0.00,"XXX",,"Jan04","23"
"95044","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,0.83,0.00,"XXX",,"Jan04","23"
"95044","RUC","Pharmacy, Rx","SH008","antigen, single","ml",5.18,0.05,0.00,"XXX",,"Jan04","23"
"95044","RUC","Pharmacy, NonRx","SJ002","allergen patch test card, T.R.U.E. (24 test card)","item",55.40,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Pharmacy, NonRx","SJ003","allergen patch test cell, Finn Chambers (10 cell card)","item",13.00,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Pharmacy, NonRx","SJ004","allergen patch test cell, Finn Chambers (5 cell card)","item",8.60,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.27,0.00,"XXX",,"Jan04","23"
"95044","RUC","Office Supply, Grocery","SK019","diluent, olive oil","ml",5.0e-03,0.03,0.00,"XXX",,"Jan04","23"
"95044","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Office Supply, Grocery","SK074","skin marking pen, fluorescent (Spotlighter)","item",1.00,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,8.33333333333333e-04,0.00,"XXX",,"Jan04","23"
"95044","RUC","Lab","SL001","acetone","ml",0.01,0.02,0.00,"XXX",,"Jan04","23"
"95044","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,0.83,0.00,"XXX",,"Jan04","23"
"95044","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,0.27,0.00,"XXX",,"Jan04","23"
"95052","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.05,0.00,"XXX",,"Jan04","23"
"95052","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,0.27,0.00,"XXX",,"Jan04","23"
"95052","RUC","Wound Care, Dressings","SG004","adhesive liquid (Mastisol) (0.67ml uou)","item",2.16,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Wound Care, Dressings","SG005","adhesive remover, liquid (Detachol) (0.67ml uou)","item",2.34,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,0.83,0.00,"XXX",,"Jan04","23"
"95052","RUC","Pharmacy, Rx","SH008","antigen, single","ml",5.18,0.05,0.00,"XXX",,"Jan04","23"
"95052","RUC","Pharmacy, NonRx","SJ002","allergen patch test card, T.R.U.E. (24 test card)","item",55.40,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Pharmacy, NonRx","SJ003","allergen patch test cell, Finn Chambers (10 cell card)","item",13.00,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Pharmacy, NonRx","SJ004","allergen patch test cell, Finn Chambers (5 cell card)","item",8.60,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.27,0.00,"XXX",,"Jan04","23"
"95052","RUC","Office Supply, Grocery","SK019","diluent, olive oil","ml",5.0e-03,0.03,0.00,"XXX",,"Jan04","23"
"95052","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Office Supply, Grocery","SK074","skin marking pen, fluorescent (Spotlighter)","item",1.00,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,8.33333333333333e-04,0.00,"XXX",,"Jan04","23"
"95052","RUC","Lab","SL001","acetone","ml",0.01,0.02,0.00,"XXX",,"Jan04","23"
"95052","RUC","Lab","SL037","cup, medicine (1oz size)","item",9.0e-03,0.83,0.00,"XXX",,"Jan04","23"
"95052","RUC","Lab","SL109","pipette, transfer 23ml","item",0.33,0.27,0.00,"XXX",,"Jan04","23"
"95056","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","23"
"95056","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Jan04","23"
"95056","RUC","Office Supply, Grocery","SK074","skin marking pen, fluorescent (Spotlighter)","item",1.00,1.00,0.00,"XXX",,"Jan04","23"
"95056","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"Jan04","23"
"95060","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"Feb05","??"
"95060","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"Feb05","??"
"95060","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"Feb05","??"
"95060","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,1.00,,"XXX",,"Feb05","??"
"95060","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Feb05","??"
"95065","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"Feb05","??"
"95065","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"Feb05","??"
"95065","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"Feb05","??"
"95065","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,1.00,,"XXX",,"Feb05","??"
"95065","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"Feb05","??"
"95070","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Accessory, Procedure","SD077","gas, air","cu ft",0.02,32.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Accessory, Procedure","SD184","nebulizer medication cup","item",0.14,1.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Pharmacy, Rx","SH077","albuterol inhal soln (3ml vial)","item",0.43,1.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,8.00,0.00,"XXX",,"Mar04","G"
"95070","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,2.00,0.00,"XXX",,"Mar04","G"
"95071","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Accessory, Procedure","SD077","gas, air","cu ft",0.02,32.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Accessory, Procedure","SD101","nebulizer mouthpiece with tubing","item",1.65,1.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Accessory, Procedure","SD184","nebulizer medication cup","item",0.14,1.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Pharmacy, Rx","SH006","antigen, mite","ml",4.10,1.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,8.00,0.00,"XXX",,"Feb05","S"
"95071","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,2.00,0.00,"XXX",,"Feb05","S"
"95076","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 34"
"95076","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 34"
"95076","RUC","Hypodermic, IV","SC057","syringe 5-6ml","item",0.15,1.00,,"XXX",,"CPT13","May 34"
"95076","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"XXX",,"CPT13","May 34"
"95076","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"XXX",,"CPT13","May 34"
"95076","RUC","Office Supply, Grocery","SK077","spoon, plastic","item",0.02,7.00,,"XXX",,"CPT13","May 34"
"95115","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 55"
"95115","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 55"
"95115","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX",,"CPT13","May 55"
"95115","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT13","May 55"
"95115","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 55"
"95117","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 55"
"95117","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 55"
"95117","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"XXX",,"CPT13","May 55"
"95117","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,"CPT13","May 55"
"95117","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 55"
"95120","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95125","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95130","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95131","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95132","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95133","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95134","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"95144","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.20,,"000",,,
"95144","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"95144","RUC","Pharmacy, Rx","SH007","antigen, multi (pollen, mite, mold, cat)","ml",6.70,1.00,,"000",,,
"95144","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.10,,"000",,,
"95144","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,1.00,,"000",,,
"95145","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"95145","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"95145","RUC","Pharmacy, Rx","SH009","antigen, venom","ml",16.67,1.00,,"000",,"CPT11",
"95145","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"95146","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"95146","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,,"000",,,
"95146","RUC","Pharmacy, Rx","SH009","antigen, venom","ml",16.67,2.00,,"000",,"CPT11",
"95146","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"000",,,
"95147","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"95147","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"95147","RUC","Pharmacy, Rx","SH010","antigen, venom, tri-vespid","ml",30.22,1.00,,"000",,"CPT11",
"95147","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"95148","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"95148","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,2.00,,"000",,,
"95148","RUC","Pharmacy, Rx","SH009","antigen, venom","ml",16.67,1.00,,"000",,"CPT11",
"95148","RUC","Pharmacy, Rx","SH010","antigen, venom, tri-vespid","ml",30.22,1.00,,"000",,"CPT11",
"95148","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"95149","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"95149","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,3.00,,"000",,,
"95149","RUC","Pharmacy, Rx","SH009","antigen, venom","ml",16.67,2.00,,"000",,"CPT11",
"95149","RUC","Pharmacy, Rx","SH010","antigen, venom, tri-vespid","ml",30.22,1.00,,"000",,"CPT11",
"95149","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"95165","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.20,,"000",,,
"95165","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"95165","RUC","Pharmacy, Rx","SH007","antigen, multi (pollen, mite, mold, cat)","ml",6.70,1.00,,"000",,,
"95165","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,0.10,,"000",,,
"95165","RUC","Lab","SL027","color coded cap and vial (for antigen)","item",0.56,1.00,,"000",,,
"95170","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"95170","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"000",,,
"95170","RUC","Pharmacy, Rx","SH008","antigen, single","ml",5.18,1.00,,"000",,,
"95170","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"95180","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"000",,"Mar03","5"
"95180","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"000",,"Mar03","5"
"95180","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,10.00,0.00,"000",,"Mar03","5"
"95180","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,4.00,0.00,"000",,"Mar03","5"
"95180","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,2.00,0.00,"000",,"Mar03","5"
"95180","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,0.00,"000",,"Mar03","5"
"95180","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,20.00,0.00,"000",,"Mar03","5"
"95180","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,15.00,0.00,"000",,"Mar03","5"
"95199","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"000",,,
"95250","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Kit, Pack, Tray","SA057","pack, shower protection for insulin pump","pack",0.61,1.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Accessory, Procedure","SD114","sensor, glucose monitoring (interstitial)","item",29.50,1.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Wound Care, Dressings","SG036","dressing, 4in x 4.75in (Polyskin)","item",1.33,1.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Wound Care, Dressings","SG045","dressing, OpSite IV 3000","item",0.60,1.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,25.00,0.00,"XXX",,"Mar04","O"
"95250","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,4.00,0.00,"XXX",,"Mar04","O"
"95251","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"95782","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Accessory, Procedure","SD104","oximetry sensor wrap","item",0.50,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Accessory, Procedure","SD273","Pediatric cannula","item",92.40,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Accessory, Procedure","SD274","Self-adherent velcro wraps","item",7.95,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,11.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,4.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,40.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,20.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT13","May 35"
"95782","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Accessory, Procedure","SD104","oximetry sensor wrap","item",0.50,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Accessory, Procedure","SD273","Pediatric cannula","item",92.40,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Accessory, Procedure","SD274","Self-adherent velcro wraps","item",7.95,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,11.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,4.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,40.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,20.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT13","May 35"
"95783","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT13","May 35"
"95800","RUC","Accessory, Procedure","SD263","WatchPAT pneumo-opt slp probes","item",73.42,1.00,,"XXX",,"CPT11","42"
"95800","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95800","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,,"XXX",,"CPT11","42"
"95800","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT11","42"
"95801","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,,"XXX",,"CPT11","42"
"95801","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95801","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,,"XXX",,"CPT11","42"
"95801","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT11","42"
"95803","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95803","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,,"XXX",,"CPT11","42"
"95803","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT11","42"
"95805","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT11","42"
"95805","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT11","42"
"95805","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT11","42"
"95805","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,,"XXX",,"CPT11","42"
"95805","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT11","42"
"95805","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,6.00,,"XXX",,"CPT11","42"
"95805","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,4.00,,"XXX",,"CPT11","42"
"95805","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,24.00,,"XXX",,"CPT11","42"
"95805","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,12.00,,"XXX",,"CPT11","42"
"95805","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95805","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT11","42"
"95805","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,,"XXX",,"CPT11","42"
"95805","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,"CPT11","42"
"95805","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT11","42"
"95805","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT11","42"
"95806","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Jan04","18"
"95806","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","18"
"95806","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,,"XXX",,"CPT11","42"
"95806","RUC","Wound Care, Dressings","SG078","tape, surgical occlusive 1in (Blenderm)","inch",7.0e-03,72.00,0.00,"XXX",,"Jan04","18"
"95806","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,5.00,0.00,"XXX",,"Jan04","18"
"95806","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95806","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,,"XXX",,"CPT11","42"
"95806","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,1.00,0.00,"XXX",,"Jan04","18"
"95806","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX",,"Jan04","18"
"95806","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,"CPT11","42"
"95807","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT11","42"
"95807","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,,"XXX",,"CPT11","42"
"95807","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95807","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,,"XXX",,"CPT11","42"
"95807","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT11","42"
"95808","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,,"XXX",,"CPT11","42"
"95808","RUC","Accessory, Procedure","SD104","oximetry sensor wrap","item",0.50,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT11","42"
"95808","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,6.00,,"XXX",,"CPT11","42"
"95808","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,4.00,,"XXX",,"CPT11","42"
"95808","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,24.00,,"XXX",,"CPT11","42"
"95808","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,12.00,,"XXX",,"CPT11","42"
"95808","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,,"XXX",,"CPT11","42"
"95808","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,"CPT11","42"
"95808","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT11","42"
"95808","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT11","42"
"95810","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,,"XXX",,"CPT11","42"
"95810","RUC","Accessory, Procedure","SD104","oximetry sensor wrap","item",0.50,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT11","42"
"95810","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,9.00,,"XXX",,"CPT11","42"
"95810","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,4.00,,"XXX",,"CPT11","42"
"95810","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,36.00,,"XXX",,"CPT11","42"
"95810","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,18.00,,"XXX",,"CPT11","42"
"95810","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT11","42"
"95810","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,"CPT11","42"
"95810","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT11","42"
"95810","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,,"XXX",,"CPT11","42"
"95811","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,,"XXX",,"CPT11","42"
"95811","RUC","Accessory, Procedure","SD104","oximetry sensor wrap","item",0.50,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Accessory, Procedure","SD112","sensor, airflow cannula (adult)","item",3.00,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,"CPT11","42"
"95811","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,9.00,,"XXX",,"CPT11","42"
"95811","RUC","Pharmacy, NonRx","SJ021","electrode conductive paste","oz",1.07,4.00,,"XXX",,"CPT11","42"
"95811","RUC","Pharmacy, NonRx","SJ023","electrode skin prep tape (One-Step)","inch",0.09,36.00,,"XXX",,"CPT11","42"
"95811","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,18.00,,"XXX",,"CPT11","42"
"95811","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,,"XXX",,"CPT11","42"
"95811","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"XXX",,"CPT11","42"
"95811","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,"CPT11","42"
"95811","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,,"XXX",,"CPT11","42"
"95812","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Feb05",
"95812","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Feb05",
"95812","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"Feb05",
"95812","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Feb05",
"95812","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,42.00,0.00,"XXX",,"Feb05",
"95812","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb05",
"95812","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,0.00,"XXX",,"Feb05",
"95812","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Feb05",
"95812","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"95812","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"Feb05",
"95812","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95812","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.10,0.00,"XXX",,"Feb05",
"95812","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Feb05",
"95813","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Feb05",
"95813","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Feb05",
"95813","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"Feb05",
"95813","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Feb05",
"95813","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,42.00,0.00,"XXX",,"Feb05",
"95813","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb05",
"95813","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,0.00,"XXX","Feb05","Feb05",
"95813","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX","Feb05","Feb05",
"95813","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"95813","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"Feb05",
"95813","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95813","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.10,0.00,"XXX",,"Feb05",
"95813","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Feb05",
"95816","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Feb05",
"95816","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Feb05",
"95816","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"Feb05",
"95816","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Feb05",
"95816","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,42.00,0.00,"XXX",,"Feb05",
"95816","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb05",
"95816","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,0.00,"XXX","Feb05","Feb05",
"95816","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX","Feb05","Feb05",
"95816","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"95816","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"Feb05",
"95816","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95816","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.10,0.00,"XXX",,"Feb05",
"95816","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Feb05",
"95819","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Feb05",
"95819","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Feb05",
"95819","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"Feb05",
"95819","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Feb05",
"95819","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"Feb05",
"95819","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb05",
"95819","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,0.00,"XXX","Feb05","Feb05",
"95819","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX","Feb05","Feb05",
"95819","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"95819","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"Feb05",
"95819","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95819","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.10,0.00,"XXX",,"Feb05",
"95819","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Feb05",
"95822","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Feb05",
"95822","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Feb05",
"95822","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"Feb05",
"95822","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Feb05",
"95822","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,42.00,0.00,"XXX",,"Feb05",
"95822","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb05",
"95822","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,0.00,"XXX","Feb05","Feb05",
"95822","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX","Feb05","Feb05",
"95822","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"95822","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,0.00,"XXX",,"Feb05",
"95822","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95822","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,0.10,0.00,"XXX",,"Feb05",
"95822","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Feb05",
"95824","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"95827","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,200.00,0.00,"XXX",,"Jan04","18"
"95827","RUC","Lab","SL001","acetone","ml",0.01,0.50,0.00,"XXX",,"Jan04","18"
"95829","RUC","Accessory, Procedure","SD048","electrode alligator clip, pair","pair",10.19,1.00,,"XXX",,,
"95829","RUC","Accessory, Procedure","SD058","electrode, grid","item",475.00,1.00,,"XXX",,,
"95829","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,,
"95829","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,,"XXX",,,
"95829","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.20,,"XXX",,,
"95829","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,500.00,,"XXX",,,
"95830","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"95830","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"95830","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"95830","RUC","Accessory, Procedure","SD061","electrode, sphenoidal","item",15.83,2.00,,"XXX",,,
"95830","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,2.00,,"XXX",,,
"95830","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"95830","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,,
"95830","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,5.00,,"XXX",,,
"95830","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,4.00,,"XXX",,,
"95830","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,,"XXX",,,
"95830","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,,"XXX",,,
"95830","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"95831","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"95831","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"95831","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95831","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"95832","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"95832","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95832","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"95833","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95833","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"95833","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"95833","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95833","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"95834","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95834","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"95834","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"95834","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95834","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"95851","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95851","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"95851","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"95851","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95851","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"95852","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95852","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"95852","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95852","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"95857","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,,
"95857","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95857","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"95857","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"95857","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95857","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"95857","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"95857","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,,
"95857","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,,
"95857","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"95857","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,,"XXX",,,
"95857","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,,
"95857","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,,"XXX",,,
"95860","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,3.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,6.00,,"XXX",,"CPT13","May 36"
"95860","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,2.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,12.00,,"XXX",,"CPT13","May 36"
"95861","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,3.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,9.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,18.00,,"XXX",,"CPT13","May 36"
"95863","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,7.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,4.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,12.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,8.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,24.00,,"XXX",,"CPT13","May 36"
"95864","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,9.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 36"
"95865","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 36"
"95866","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 36"
"95867","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,8.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,8.00,,"XXX",,"CPT13","May 36"
"95868","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 36"
"95869","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 36"
"95870","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"XXX",,"CPT13","May 36"
"95872","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Accessory, Procedure","SD051","electrode needle, monopolar EMG w-lead","item",3.03,1.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,10.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,0.00,"XXX",,"Jan04","18"
"95872","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,0.00,"XXX",,"Jan04","18"
"95873","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"ZZZ",,"RUC05",
"95873","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"ZZZ",,"RUC05",
"95873","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"ZZZ",,"RUC05",
"95873","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,,"ZZZ",,"RUC05",
"95873","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"ZZZ",,"RUC05",
"95873","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"ZZZ",,"RUC05",
"95874","RUC","Accessory, Procedure","SD050","electrode needle, injectable (Myoject)","item",20.00,1.00,,"ZZZ",,"RUC05",
"95874","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"ZZZ",,"RUC05",
"95874","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,,"ZZZ",,"RUC05",
"95874","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,,"ZZZ",,"RUC05",
"95874","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"ZZZ",,"RUC05",
"95874","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,5.00,,"ZZZ",,"RUC05",
"95875","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"95875","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95875","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX",,,
"95875","RUC","Hypodermic, IV","SC012","heparin lock","item",0.91,1.00,,"XXX",,,
"95875","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,7.00,,"XXX",,,
"95875","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,,
"95875","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,7.00,,"XXX",,,
"95875","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX",,,
"95875","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,,"XXX",,,
"95875","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"95875","RUC","Lab","SL085","label for microscope slides","item",0.02,14.00,,"XXX",,,
"95875","RUC","Lab","SL143","test tube","item",0.27,14.00,,"XXX",,,
"95885","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,1.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,4.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"ZZZ",,"CPT12","May 31"
"95885","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,1.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,6.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,6.00,,"ZZZ",,"CPT12","May 31"
"95886","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Accessory, Procedure","SD049","electrode needle, concentric EMG w-lead","item",8.69,1.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,1.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,6.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,4.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"ZZZ",,"CPT12","May 31"
"95887","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,3.00,,"ZZZ",,"CPT12","May 31"
"95905","RUC","Accessory, Procedure","SD223","electrode, array, nerve, preconfigured,","item",45.00,1.00,0.00,"XXX",,"CPT10","22"
"95905","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT10","22"
"95907","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,4.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95907","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,8.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,8.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95908","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,1.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,12.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,12.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95909","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,2.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,16.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,16.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95910","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,2.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,20.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,20.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95911","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,2.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,24.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,24.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95912","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Accessory, Procedure","SD275","Disposable electrode pack","each",2.75,2.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,26.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,26.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 36"
"95913","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,2.00,,"XXX",,"CPT13","May 36"
"95921","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,6.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"CPT13","May 37"
"95921","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,6.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"CPT13","May 37"
"95922","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Kit, Pack, Tray","SA014","kit, electrode, iontophoresis","kit",11.99,4.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Accessory, Procedure","SD276","Indicator powder","item",,10.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,2.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Pharmacy, Rx","SH002","acetylcholine (for patient use)","gm",0.40,50.00,,"XXX",,"CPT13","May 37"
"95923","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 37"
"95925","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,8.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,24.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Lab","SL001","acetone","ml",0.01,7.00,,"XXX",,"CPT13","May 56"
"95925","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.17,,"XXX",,"CPT13","May 56"
"95926","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,8.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,24.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Lab","SL001","acetone","ml",0.01,7.00,,"XXX",,"CPT13","May 56"
"95926","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.17,,"XXX",,"CPT13","May 56"
"95927","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Accessory, Procedure","SD166","electrode, EGG (single)","item",2.91,4.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,24.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Mar04","H"
"95927","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,0.00,"XXX",,"Mar04","H"
"95928","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,12.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,24.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Office Supply, Grocery","SK021","emery board","item",0.08,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Lab","SL001","acetone","ml",0.01,7.00,,"XXX",,"CPT13","May 56"
"95928","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.17,,"XXX",,"CPT13","May 56"
"95929","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,12.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,24.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Office Supply, Grocery","SK021","emery board","item",0.08,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Lab","SL001","acetone","ml",0.01,7.00,,"XXX",,"CPT13","May 56"
"95929","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.17,,"XXX",,"CPT13","May 56"
"95930","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Accessory, Procedure","SD166","electrode, EGG (single)","item",2.91,4.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,24.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,6.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Mar04","H"
"95930","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,0.00,"XXX",,"Mar04","H"
"95933","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"95933","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95933","RUC","Accessory, Procedure","SD052","electrode, bar-style (single)","item",0.24,1.00,,"XXX",,,
"95933","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,,
"95933","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,,
"95933","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"XXX",,,
"95933","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,,
"95933","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,,"XXX",,,
"95933","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,,"XXX",,,
"95933","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,,
"95933","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"95933","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,,
"95933","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"95937","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"95937","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,,
"95937","RUC","Accessory, Procedure","SD052","electrode, bar-style (single)","item",0.24,1.00,,"XXX",,,
"95937","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,,
"95937","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,,
"95937","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,36.00,,"XXX",,,
"95937","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,,
"95937","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,,"XXX",,,
"95937","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,1.00,,"XXX",,,
"95937","RUC","Pharmacy, NonRx","SJ045","sensor strip, skin temperature","item",0.97,1.00,,"XXX",,,
"95937","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"95937","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,,
"95937","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,1.00,,"XXX",,,
"95938","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,16.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,48.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,2.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,20.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,12.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Lab","SL001","acetone","ml",0.01,15.00,,"XXX",,"CPT13","May 56"
"95938","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,"CPT13","May 56"
"95939","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Accessory, Procedure","SD059","electrode, ground","item",0.44,1.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,24.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,48.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,2.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,4.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Office Supply, Grocery","SK021","emery board","item",0.08,1.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,12.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Lab","SL001","acetone","ml",0.01,15.00,,"XXX",,"CPT13","May 56"
"95939","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX",,"CPT13","May 56"
"95950","RUC","Kit, Pack, Tray","SA002","kit, ambulatory Holter","kit",4.44,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,1.50,0.00,"XXX",,"CPT11","75"
"95950","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Office Supply, Grocery","SK007","audio cassette tape 60 min","item",0.76,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Office Supply, Grocery","SK011","battery, AAA","item",0.48,4.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"CPT11","75"
"95950","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"CPT11","75"
"95951","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"95953","RUC","Kit, Pack, Tray","SA002","kit, ambulatory Holter","kit",4.44,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,20.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,2.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"CPT11","75"
"95953","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"CPT11","75"
"95954","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Feb05",
"95954","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Feb05",
"95954","RUC","Accessory, Procedure","SD054","electrode, EEG, tin cup (12 pack uou)","item",18.00,2.00,0.00,"XXX",,"Feb05",
"95954","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX","Feb05","Feb05",
"95954","RUC","Pharmacy, Rx","SH004","albumin saline","ml",0.08,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"Feb05",
"95954","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,100.00,0.00,"XXX",,"Feb05",
"95954","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,0.00,"XXX",,"Feb05",
"95954","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Feb05",
"95954","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX","Feb05","Feb05",
"95954","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"Feb05",
"95954","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Feb05",
"95955","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"95955","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX",,,
"95955","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"95955","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"95955","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,1.00,,"XXX",,,
"95955","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"95955","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"95955","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"95955","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"95955","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,,"XXX",,,
"95955","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,,
"95955","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,,"XXX",,,
"95955","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"95955","RUC","Office Supply, Grocery","SK016","computer media, optical disk 2.6gb","item",68.75,0.10,,"XXX",,,
"95955","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,800.00,,"XXX",,,
"95955","RUC","Lab","SL001","acetone","ml",0.01,15.00,,"XXX",,,
"95956","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Accessory, Procedure","SD265","Imaging compatible electrodes","item",6.00,24.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,2.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,15.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,2.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"CPT11","75"
"95956","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"CPT11","75"
"95957","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,20.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Office Supply, Grocery","SK015","computer media, optical disk 128mb","item",12.00,5.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar04","H"
"95957","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,200.00,0.00,"XXX",,"Mar04","H"
"95958","RUC","Lab","SL001","acetone","ml",0.01,15.00,0.00,"XXX",,"Mar04","H"
"95961","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Hypodermic, IV","SC034","needle, blunt tip","item",0.33,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Hypodermic, IV","SC055","syringe 3ml","item",0.09,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,2.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Accessory, Procedure","SD165","electrode, EEG (single)","item",1.63,2.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Wound Care, Dressings","SG077","tape, porous-hypoallergenic 2in (Scanpore)","inch",0.01,6.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Pharmacy, NonRx","SJ014","collodion (2oz uou)","item",2.61,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Pharmacy, NonRx","SJ022","electrode skin prep gel (NuPrep)","ml",0.05,10.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,200.00,0.00,"XXX",,"Jan04","18"
"95961","RUC","Lab","SL001","acetone","ml",0.01,0.50,0.00,"XXX",,"Jan04","18"
"95962","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Jan04","18"
"95965","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"95966","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"95967","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"ZZZ",,,
"95970","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","H"
"95971","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","H"
"95972","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","H"
"95973","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"95974","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Mar04","H"
"95975","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"95978","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"95979","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"95980","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","Q"
"95981","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT08","Q"
"95982","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT08","Q"
"95990","RUC","Kit, Pack, Tray","SA076","kit, refill for implantable medication pump","item",28.00,1.00,0.00,"XXX",,,
"95990","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"95990","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,,
"95990","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"95990","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,,
"95990","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"XXX",,,
"95990","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"95990","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"95990","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,,
"95991","RUC","Kit, Pack, Tray","SA076","kit, refill for implantable medication pump","item",28.00,1.00,0.00,"XXX",,,
"95991","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"95991","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,,
"95991","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"95991","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,2.00,,"XXX",,,
"95991","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"XXX",,,
"95991","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"95991","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"95991","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,,
"95992","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"CPT09","30"
"95992","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,1.00,0.00,"XXX",,"CPT09","30"
"95992","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"XXX",,"CPT09","30"
"95992","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"CPT09","30"
"95992","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,2.00,0.00,"XXX",,"CPT09","30"
"95992","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"CPT09","30"
"95999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"96000","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"96001","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"96002","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"96003","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"96004","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"96020","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"96040","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.33,0.00,"XXX",,"CPT07",
"96101","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,0.00,"XXX",,"CPT06",
"96101","RUC","Office Supply, Grocery","SK067","psych testing forms, average","item",2.30,0.10,0.00,"XXX",,"CPT06",
"96101","RUC","Office Supply, Grocery","SK108","MCMI-III kit and manual","item",,0.10,0.00,"XXX",,"CPT06",
"96101","RUC","Office Supply, Grocery","SK110","fee, image analysis","item",18.00,0.10,0.00,"XXX",,"CPT06",
"96101","RUC","Office Supply, Grocery","SK111","fee, licensing, computer, psychology","item",26.83,0.10,0.00,"XXX",,"CPT06",
"96102","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,8.00,0.00,"XXX",,"CPT06",
"96102","RUC","Office Supply, Grocery","SK067","psych testing forms, average","item",2.30,0.33,0.00,"XXX",,"CPT06",
"96102","RUC","Office Supply, Grocery","SK108","MCMI-III kit and manual","item",,0.33,0.00,"XXX",,"CPT06",
"96102","RUC","Office Supply, Grocery","SK110","fee, image analysis","item",18.00,0.33,0.00,"XXX",,"CPT06",
"96102","RUC","Office Supply, Grocery","SK111","fee, licensing, computer, psychology","item",26.83,0.33,0.00,"XXX",,"CPT06",
"96103","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,3.00,0.00,"XXX",,"CPT06",
"96103","RUC","Office Supply, Grocery","SK111","fee, licensing, computer, psychology","item",26.83,1.00,0.00,"XXX",,"Apr06","J"
"96105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"CPT11","76"
"96105","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"XXX",,"CPT11","76"
"96105","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"CPT11","76"
"96105","RUC","Office Supply, Grocery","SK003","aphasia assessment forms, average","item",2.84,1.00,0.00,"XXX",,"CPT11","76"
"96111","RUC","Office Supply, Grocery","SK088","Woodcock Johnson test record","item",2.44,1.00,0.00,"XXX",,,
"96116","RUC","Office Supply, Grocery","SK003","aphasia assessment forms, average","item",2.84,0.25,0.00,"XXX",,"CPT06",
"96116","RUC","Office Supply, Grocery","SK007","audio cassette tape 60 min","item",0.76,0.25,0.00,"XXX",,"CPT06",
"96116","RUC","Office Supply, Grocery","SK050","neurobehavioral status forms, average","item",5.77,0.25,0.00,"XXX",,"CPT06",
"96116","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,0.25,0.00,"XXX",,"CPT06",
"96118","RUC","Office Supply, Grocery","SK003","aphasia assessment forms, average","item",2.84,1.00,0.00,"XXX",,"CPT06",
"96118","RUC","Office Supply, Grocery","SK007","audio cassette tape 60 min","item",0.76,1.00,0.00,"XXX",,"CPT06",
"96118","RUC","Office Supply, Grocery","SK050","neurobehavioral status forms, average","item",5.77,1.00,0.00,"XXX",,"CPT06",
"96118","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,1.00,0.00,"XXX",,"CPT06",
"96119","RUC","Office Supply, Grocery","SK003","aphasia assessment forms, average","item",2.84,0.30,0.00,"XXX",,"CPT06",
"96119","RUC","Office Supply, Grocery","SK007","audio cassette tape 60 min","item",0.76,0.30,0.00,"XXX",,"CPT06",
"96119","RUC","Office Supply, Grocery","SK050","neurobehavioral status forms, average","item",5.77,0.30,0.00,"XXX",,"CPT06",
"96119","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,0.30,0.00,"XXX",,"CPT06",
"96120","RUC","Office Supply, Grocery","SK007","audio cassette tape 60 min","item",0.76,0.30,0.00,"XXX",,"CPT06",
"96120","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,0.30,0.00,"XXX",,"CPT06",
"96120","RUC","Office Supply, Grocery","SK111","fee, licensing, computer, psychology","item",26.83,1.00,0.00,"XXX",,"Apr06","J"
"96125","RUC","Office Supply, Grocery","SK050","neurobehavioral status forms, average","item",5.77,2.00,0.00,"XXX",,"CPT08","hp"
"96150","RUC","Kit, Pack, Tray","SA018","kit, interactive materials for behavioral assessment","kit",0.04,1.00,,"XXX",,,
"96150","RUC","Kit, Pack, Tray","SA034","kit, therapeutic toys-games (50% of the time)","kit",0.10,1.00,,"XXX",,,
"96150","RUC","Office Supply, Grocery","SK006","assessment-monitoring instruments (50% use)","item",0.06,1.00,,"XXX",,,
"96151","RUC","Kit, Pack, Tray","SA018","kit, interactive materials for behavioral assessment","kit",0.04,1.00,,"XXX",,,
"96151","RUC","Kit, Pack, Tray","SA034","kit, therapeutic toys-games (50% of the time)","kit",0.10,1.00,,"XXX",,,
"96151","RUC","Office Supply, Grocery","SK006","assessment-monitoring instruments (50% use)","item",0.06,1.00,,"XXX",,,
"96152","RUC","Kit, Pack, Tray","SA018","kit, interactive materials for behavioral assessment","kit",0.04,1.00,,"XXX",,,
"96152","RUC","Kit, Pack, Tray","SA034","kit, therapeutic toys-games (50% of the time)","kit",0.10,1.00,,"XXX",,,
"96152","RUC","Office Supply, Grocery","SK006","assessment-monitoring instruments (50% use)","item",0.06,1.00,,"XXX",,,
"96153","RUC","Office Supply, Grocery","SK006","assessment-monitoring instruments (50% use)","item",0.06,1.00,,"XXX",,,
"96154","RUC","Kit, Pack, Tray","SA018","kit, interactive materials for behavioral assessment","kit",0.04,1.00,,"XXX",,,
"96154","RUC","Kit, Pack, Tray","SA034","kit, therapeutic toys-games (50% of the time)","kit",0.10,1.00,,"XXX",,,
"96154","RUC","Office Supply, Grocery","SK006","assessment-monitoring instruments (50% use)","item",0.06,1.00,,"XXX",,,
"96155","RUC","Office Supply, Grocery","SK006","assessment-monitoring instruments (50% use)","item",0.06,1.00,,"XXX",,,
"96360","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX","90760","CPT09","rn"
"96360","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX","90760","CPT09","rn"
"96361","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","90761","CPT09","rn"
"96365","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX","90765","CPT09","rn"
"96365","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX","90765","CPT09","rn"
"96366","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ","90766","CPT09","rn"
"96367","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ","90767","CPT09","rn"
"96368","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","90768","CPT09","rn"
"96369","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,2.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Hypodermic, IV","SC087","tubing set, Y-type blood recipient","item",5.75,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Hypodermic, IV","SC093","IV infusion set, Sof-set (Minimed)","item",11.50,4.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,3.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,4.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,2.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,6.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,2.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"XXX","90769","CPT09","rn"
"96369","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,10.00,,"XXX","90769","CPT09","rn"
"96370","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","90770","CPT09","rn"
"96371","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Hypodermic, IV","SC080","needle, OSHA compliant (SafetyGlide)","item",0.45,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Hypodermic, IV","SC087","tubing set, Y-type blood recipient","item",5.75,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Hypodermic, IV","SC093","IV infusion set, Sof-set (Minimed)","item",11.50,2.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Wound Care, Dressings","SG075","tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)","item",1.74,2.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Pharmacy, Rx","SH030","Emla cream","gm",2.08,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Office Supply, Grocery","SK095","battery, AA","item",0.45,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"ZZZ","90771","CPT09","rn"
"96371","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,10.00,,"ZZZ","90771","CPT09","rn"
"96372","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX","90772","CPT09","rn"
"96372","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","90772","CPT09","rn"
"96372","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX","90772","CPT09","rn"
"96372","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX","90772","CPT09","rn"
"96372","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90772","CPT09","rn"
"96372","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","90772","CPT09","rn"
"96373","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","90783","CPT09","rn"
"96373","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX","90773","CPT09","rn"
"96373","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"XXX","90783","CPT09","rn"
"96373","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90783","CPT09","rn"
"96373","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX","90773","CPT09","rn"
"96373","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","90773","CPT09","rn"
"96374","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX","90774","CPT09","rn"
"96374","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX","90774","CPT09","rn"
"96375","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ","90775","CPT09","rn"
"96375","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"ZZZ","90775","CPT09","rn"
"96375","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"ZZZ","90775","CPT09","rn"
"96375","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"ZZZ","90775","CPT09","rn"
"96375","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ","90775","CPT09","rn"
"96376","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"ZZZ","90776","CPR09","rn"
"96379","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY","90779","CPT09","rn"
"96401","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"SEP04",
"96401","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"SEP04",
"96401","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"SEP04",
"96401","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"SEP04",
"96401","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"SEP04",
"96401","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,"SEP04",
"96401","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX",,"SEP04",
"96401","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"SEP04",
"96401","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"SEP04",
"96401","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,1.00,,"XXX",,"SEP04",
"96401","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"SEP04",
"96402","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"SEP04",
"96402","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"SEP04",
"96402","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"SEP04",
"96402","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"SEP04",
"96402","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"SEP04",
"96402","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,"SEP04",
"96402","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"XXX",,"SEP04",
"96402","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"SEP04",
"96402","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"SEP04",
"96402","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,1.00,,"XXX",,"SEP04",
"96402","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,"SEP04",
"96405","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"APR08",
"96405","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,"APR08",
"96405","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,6.00,0.00,"000",,"APR08",
"96405","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,6.00,0.00,"000",,"APR08",
"96405","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,0.00,"000",,"APR08",
"96405","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"000",,"APR08",
"96405","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,5.00,0.00,"000",,"APR08",
"96405","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,25.00,0.00,"000",,"APR08",
"96405","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,1.00,0.00,"000",,"APR08",
"96405","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,50.00,0.00,"000",,"APR08",
"96405","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,6.00,0.00,"000",,"APR08",
"96405","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"APR08",
"96406","RUC","Kit, Pack, Tray","SA041","pack, basic injection","pack",11.67,1.00,0.00,"000",,"APR08",
"96406","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,"APR08",
"96406","RUC","Hypodermic, IV","SC031","needle, 30g","item",0.34,12.00,0.00,"000",,"APR08",
"96406","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,12.00,0.00,"000",,"APR08",
"96406","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,6.00,0.00,"000",,"APR08",
"96406","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,24.00,0.00,"000",,"APR08",
"96406","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,10.00,0.00,"000",,"APR08",
"96406","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,50.00,0.00,"000",,"APR08",
"96406","RUC","Pharmacy, NonRx","SJ007","bacitracin oint (0.9gm uou)","item",0.09,2.00,0.00,"000",,"APR08",
"96406","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,100.00,0.00,"000",,"APR08",
"96406","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,12.00,0.00,"000",,"APR08",
"96406","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"000",,"APR08",
"96409","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"SEP04",
"96409","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"SEP04",
"96409","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"XXX",,"SEP04",
"96409","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"XXX",,"SEP04",
"96409","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"SEP04",
"96409","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"XXX",,"SEP04",
"96409","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,2.00,,"XXX",,"SEP04",
"96409","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"SEP04",
"96411","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,1.00,,"ZZZ",,"SEP04",
"96411","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"ZZZ",,"SEP04",
"96413","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,2.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,6.00,,"XXX",,"CPT12","Oct 12"
"96413","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"XXX",,"CPT12","Oct 12"
"96415","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"ZZZ",,"SEP04",
"96415","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"ZZZ",,"SEP04",
"96415","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"ZZZ",,"SEP04",
"96415","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,,"ZZZ",,"SEP04",
"96415","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,6.00,,"ZZZ",,"SEP04",
"96416","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Office Supply, Grocery","SK010","battery, 9 volt","item",1.79,2.00,,"XXX",,"CPT12","Oct 12"
"96416","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"XXX",,"CPT12","Oct 12"
"96417","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"ZZZ",,"SEP04",
"96417","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"ZZZ",,"SEP04",
"96417","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"ZZZ",,"SEP04",
"96417","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"ZZZ",,"SEP04",
"96417","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"ZZZ",,"SEP04",
"96417","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"ZZZ",,"SEP04",
"96417","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"ZZZ",,"SEP04",
"96420","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"96420","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"96420","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"96420","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"96420","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"96420","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,4.00,0.00,"XXX",,,
"96420","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"96420","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"96420","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,60.00,,"XXX",,,
"96420","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"96422","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"96422","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"96422","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"96422","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"96422","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"XXX",,,
"96422","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"XXX",,,
"96422","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,4.00,0.00,"XXX",,,
"96422","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"96422","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"96422","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,60.00,,"XXX",,,
"96422","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"96422","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"XXX",,,
"96423","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"96425","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"96425","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"96425","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,"XXX",,,
"96425","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"96425","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"96425","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,0.00,"XXX",,,
"96425","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"XXX",,,
"96425","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"96425","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX",,,
"96425","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,,"XXX",,,
"96425","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,,
"96425","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"XXX",,,
"96425","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"XXX",,,
"96425","RUC","Lab","SL126","sodium chloride, 99.0% min.","gm",0.03,1.00,,"XXX",,,
"96440","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"JAN08",
"96440","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,1.00,0.00,"000",,"JAN08",
"96440","RUC","Kit, Pack, Tray","SA077","kit, pleural catheter insertion","kit",329.00,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"000",,"JAN08",
"96440","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC030","needle, 19-25g, butterfly","item",0.79,1.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,0.00,"000",,"JAN08",
"96440","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"000",,"JAN08",
"96440","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,0.00,"000",,"JAN08",
"96440","RUC","Accessory, Procedure","SD093","HEPA filter","item",4.96,1.00,0.00,"000",,"JAN08",
"96440","RUC","Accessory, Procedure","SD144","canister, vacuum, pleural (w-drainage line)","item",31.00,2.00,0.00,"000",,"JAN08",
"96440","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,0.00,"000",,"JAN08",
"96440","RUC","Cutters, Closures, Cautery","SF040","suture, vicryl, 3-0 to 6-0, p, ps","item",7.85,1.00,0.00,"000",,"JAN08",
"96440","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"000",,"JAN08",
"96440","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,32.00,0.00,"000",,"JAN08",
"96440","RUC","Pharmacy, Rx","SH046","lidocaine 1% w-epi inj (Xylocaine w-epi)","ml",0.06,5.00,0.00,"000",,"JAN08",
"96440","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"000",,"JAN08",
"96440","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000",,"JAN08",
"96446","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT11","23"
"96446","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,2.00,,"000",,"CPT11","23"
"96446","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000",,"CPT11","23"
"96446","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"000",,"CPT11","23"
"96446","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,"CPT11","23"
"96446","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,,"000",,"CPT11","23"
"96446","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"000",,"CPT11","23"
"96446","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,,"000",,"CPT11","23"
"96446","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000",,"CPT11","23"
"96446","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,1.00,,"000",,"CPT11","23"
"96446","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,,"000",,"CPT11","23"
"96446","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"000",,"CPT11","23"
"96446","RUC","Wound Care, Dressings","SG053","gauze, sterile 2in x 2in","item",0.05,1.00,,"000",,"CPT11","23"
"96446","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"000",,"CPT11","23"
"96446","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"000",,"CPT11","23"
"96446","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,,"000",,"CPT11","23"
"96446","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,2.00,,"000",,"CPT11","23"
"96446","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"000",,"CPT11","23"
"96446","RUC","Pharmacy, NonRx","SJ081","swab, patient prep, 1.5 ml  (chloraprep)","item",1.04,1.00,,"000",,"CPT11","23"
"96446","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,,"000",,"CPT11","23"
"96446","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,,"000",,"CPT11","23"
"96446","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,6.00,,"000",,"CPT11","23"
"96450","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"SEP07",
"96450","RUC","Kit, Pack, Tray","SA065","tray, lumbar puncture","tray",18.55,1.00,0.00,"000",,"SEP07",
"96450","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"SEP07",
"96450","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"SEP07",
"96450","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"000",,"SEP07",
"96450","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"000",,"SEP07",
"96450","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,0.00,"000",,"SEP07",
"96450","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,0.00,"000",,"SEP07",
"96450","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"000",,"SEP07",
"96450","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,1.00,0.00,"000",,"SEP07",
"96450","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"000",,"SEP07",
"96450","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,0.00,"000",,"SEP07",
"96450","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,6.00,0.00,"000",,"SEP07",
"96521","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"RUC05",
"96521","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"RUC05",
"96521","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"RUC05",
"96521","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"RUC05",
"96521","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"RUC05",
"96521","RUC","Hypodermic, IV","SC013","infusion pump cassette-reservoir","item",12.96,1.00,,"XXX",,"RUC05",
"96521","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"RUC05",
"96521","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,2.00,,"XXX",,"RUC05",
"96521","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"XXX",,"RUC05",
"96521","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"RUC05",
"96521","RUC","Office Supply, Grocery","SK010","battery, 9 volt","item",1.79,2.00,,"XXX",,"RUC05",
"96522","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"RUC05",
"96522","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"RUC05",
"96522","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"RUC05",
"96522","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"RUC05",
"96522","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"RUC05",
"96522","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"XXX",,"RUC05",
"96522","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,,"XXX",,"RUC05",
"96522","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"RUC05",
"96522","RUC","Hypodermic, IV","SC054","syringe 30 ml","item",0.63,1.00,,"XXX",,"RUC05",
"96522","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,,"XXX",,"RUC05",
"96522","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"RUC05",
"96522","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"RUC05",
"96522","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"RUC05",
"96523","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"XXX",,"RUC05",
"96523","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"RUC05",
"96523","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"RUC05",
"96523","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,"RUC05",
"96523","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,"RUC05",
"96523","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"XXX",,"RUC05",
"96523","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,,"XXX",,"RUC05",
"96523","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,"RUC05",
"96523","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"XXX",,"RUC05",
"96523","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"RUC05",
"96523","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,1.00,,"XXX",,"RUC05",
"96523","RUC","Pharmacy, Rx","SH068","sodium chloride 0.9% inj bacteriostatic (30ml uou)","item",0.70,1.00,,"XXX",,"RUC05",
"96542","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,3.00,0.00,"XXX",,"SEP07",
"96542","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Hypodermic, IV","SC039","needle, Huber point","item",3.32,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Hypodermic, IV","SC049","stop cock, 3-way","item",1.17,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,3.00,0.00,"XXX",,"SEP07",
"96542","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,3.00,0.00,"XXX",,"SEP07",
"96542","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,2.00,0.00,"XXX",,"SEP07",
"96542","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,0.00,"XXX",,"SEP07",
"96542","RUC","Office Supply, Grocery","SK018","cup, drinking","item",0.02,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Office Supply, Grocery","SK040","graham crackers (one packet)","item",0.69,1.00,0.00,"XXX",,"SEP07",
"96542","RUC","Office Supply, Grocery","SK042","juice, apple","oz",0.03,6.00,0.00,"XXX",,"SEP07",
"96549","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"96567","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"96567","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"96567","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"XXX",,,
"96567","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,4.00,,"XXX",,,
"96567","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"96567","RUC","Pharmacy, Rx","SH092","LMX 4% anesthetic cream","gm",1.60,30.00,,"XXX",,,
"96567","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,0.50,,"XXX",,,
"96567","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,3.00,,"XXX",,,
"96567","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,,"XXX",,,
"96567","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"96567","RUC","Office Supply, Grocery","SK041","ice (per cup)","item",0.05,1.00,,"XXX",,,
"96567","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"96570","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"96571","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"96900","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"Sep04",
"96900","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,0.00,"XXX",,"Sep04",
"96900","RUC","Office Supply, Grocery","SK045","lip screen","item",1.44,1.00,0.00,"XXX",,"Sep04",
"96900","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,1.00,0.00,"XXX",,"Sep04",
"96900","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,"Sep04",
"96902","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,0.00,"XXX",,"Jan04","23"
"96902","RUC","Lab","SL036","cup, biopsy-specimen sterile 4oz","item",0.17,1.00,0.00,"XXX",,"Jan04","23"
"96902","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,0.00,"XXX",,"Jan04","23"
"96902","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,1.00,0.00,"XXX",,"Jan04","23"
"96902","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,0.00,"XXX",,"Jan04","23"
"96904","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT07",
"96904","RUC","Gown, Drape","SB050","bolster covers, disposable","item",0.06,3.00,0.00,"XXX",,"CPT07",
"96904","RUC","Gown, Drape","SB051","Disposable underwear","item",,1.00,0.00,"XXX",,"CPT07",
"96904","RUC","Office Supply, Grocery","SK013","computer media, dvd","item",3.83,1.00,0.00,"XXX",,"CPT07",
"96904","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,36.00,0.00,"XXX",,"CPT07",
"96904","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,0.00,"XXX",,"CPT07",
"96904","RUC","Infection Control","SM012","disinfectant spray (Transeptic)","ml",0.02,1.00,0.00,"XXX",,"CPT07",
"96910","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"96910","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"96910","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"XXX",,,
"96910","RUC","Gown, Drape","SB021","gloves, cotton","pair",0.97,1.00,,"XXX",,,
"96910","RUC","Gown, Drape","SB038","safety glasses","item",2.90,0.10,,"XXX",,,
"96910","RUC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"XXX",,,
"96910","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,2.00,,"XXX",,,
"96910","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,,
"96910","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"96910","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,,
"96910","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"96910","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,30.00,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ006","anthralin ointment","gm",2.75,3.00,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ013","coal tar soln","ml",0.02,240.00,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,4.00,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,0.30,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,100.00,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"96910","RUC","Pharmacy, NonRx","SJ064","zinc oxide ointment","oz",0.95,1.00,,"XXX",,,
"96910","RUC","Office Supply, Grocery","SK045","lip screen","item",1.44,0.04,,"XXX",,,
"96910","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,2.00,,"XXX",,,
"96910","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,6.00,,"XXX",,,
"96910","RUC","Lab","SL087","lens paper","item",0.02,2.00,,"XXX",,,
"96910","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"96910","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"XXX",,,
"96910","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,,"XXX",,,
"96912","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"96912","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"96912","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"XXX",,,
"96912","RUC","Gown, Drape","SB021","gloves, cotton","pair",0.97,1.00,,"XXX",,,
"96912","RUC","Gown, Drape","SB038","safety glasses","item",2.90,0.10,,"XXX",,,
"96912","RUC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"XXX",,,
"96912","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,2.00,,"XXX",,,
"96912","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"XXX",,,
"96912","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"XXX",,,
"96912","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,,
"96912","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"96912","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,30.00,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ006","anthralin ointment","gm",2.75,3.00,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,4.00,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,0.30,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ034","methoxsalen 10mg (Oxsoralen)","item",6.15,3.00,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,100.00,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"96912","RUC","Pharmacy, NonRx","SJ064","zinc oxide ointment","oz",0.95,1.00,,"XXX",,,
"96912","RUC","Office Supply, Grocery","SK045","lip screen","item",1.44,0.04,,"XXX",,,
"96912","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,2.00,,"XXX",,,
"96912","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,8.00,,"XXX",,,
"96912","RUC","Lab","SL087","lens paper","item",0.02,2.00,,"XXX",,,
"96912","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"96912","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"XXX",,,
"96912","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,4.00,,"XXX",,,
"96913","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,2.00,,"XXX",,,
"96913","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX",,,
"96913","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"XXX",,,
"96913","RUC","Gown, Drape","SB021","gloves, cotton","pair",0.97,2.00,,"XXX",,,
"96913","RUC","Gown, Drape","SB038","safety glasses","item",2.90,0.10,,"XXX",,,
"96913","RUC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"XXX",,,
"96913","RUC","Gown, Drape","SB043","towel, professional 13in x 18in","item",0.04,6.00,,"XXX",,,
"96913","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,4.00,,"XXX",,,
"96913","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,6.00,,"XXX",,,
"96913","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,2.00,,"XXX",,,
"96913","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,,
"96913","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"96913","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,60.00,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ006","anthralin ointment","gm",2.75,6.00,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ013","coal tar soln","ml",0.02,480.00,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,4.00,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,0.30,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,300.00,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,12.00,,"XXX",,,
"96913","RUC","Pharmacy, NonRx","SJ064","zinc oxide ointment","oz",0.95,1.00,,"XXX",,,
"96913","RUC","Office Supply, Grocery","SK045","lip screen","item",1.44,0.04,,"XXX",,,
"96913","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,2.00,,"XXX",,,
"96913","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,24.00,,"XXX",,,
"96913","RUC","Lab","SL087","lens paper","item",0.02,2.00,,"XXX",,,
"96913","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,"XXX",,,
"96913","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,2.00,,"XXX",,,
"96913","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,8.00,,"XXX",,,
"96920","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,6.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,12.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,6.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,1.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,,"000",,"CPT13","Mar 13"
"96920","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,3.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,6.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,12.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,4.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,6.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,1.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,,"000",,"CPT13","Mar 13"
"96921","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,2.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,4.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Wound Care, Dressings","SG082","cotton balls, sterile","item",0.02,6.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, Rx","SH050","lidocaine 4% soln, topical  (Xylocaine)","ml",0.15,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, Rx","SH072","triamcinolone acetonide 0.1% cream","gm",0.05,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, NonRx","SJ008","bacitracin oint (15gm uou)","item",1.41,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, NonRx","SJ026","Eucerin cream","oz",0.95,12.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, NonRx","SJ027","goggles, uv-blocking","item",2.30,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, NonRx","SJ029","ice pack, instant","item",1.06,4.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, NonRx","SJ035","mineral oil","ml",0.01,8.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Pharmacy, NonRx","SJ038","petroleum jelly","oz",0.28,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Office Supply, Grocery","SK075","skin marking pen, sterile (Skin Skribe)","item",1.04,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Office Supply, Grocery","SK078","sunscreen lotion (spf15)","oz",0.59,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Office Supply, Grocery","SK082","towel, paper (Bounty) (per sheet)","item",7.0e-03,6.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Lab","SL006","alcohol, ethyl, denatured","ml",0.03,1.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,2.00,,"000",,"CPT13","Mar 13"
"96922","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,3.00,,"000",,"CPT13","Mar 13"
"96999","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"97001","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"97002","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"97003","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,,"XXX",,,
"97003","RUC","Wound Care, Dressings","SG030","cotton balls, non-sterile","item",4.0e-03,3.00,,"XXX",,,
"97003","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,2.00,,"XXX",,,
"97003","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,0.25,,"XXX",,,
"97004","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,1.00,,"XXX",,,
"97004","RUC","Office Supply, Grocery","SK021","emery board","item",0.08,1.00,,"XXX",,,
"97004","RUC","Office Supply, Grocery","SK049","nail polish","item",1.99,1.00,,"XXX",,,
"97004","RUC","Office Supply, Grocery","SK053","pad, nail polish remover","item",0.04,2.00,,"XXX",,,
"97004","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"XXX",,,
"97004","RUC","Infection Control","SM024","soap, liquid, antibacterial","oz",0.20,0.50,,"XXX",,,
"97005","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"97006","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"97010","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"97012","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,1.00,,"XXX",,,
"97014","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"97014","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,2.00,,"XXX",,,
"97014","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"97014","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"XXX",,,
"97014","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"97014","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"97016","RUC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"XXX",,,
"97018","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97018","RUC","Office Supply, Grocery","SK061","paraffin for therapy bath","lb",3.19,0.25,,"XXX",,,
"97018","RUC","Office Supply, Grocery","SK066","plastic wrap","foot",0.01,1.50,,"XXX",,,
"97022","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"97022","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"97022","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,,
"97022","RUC","Wound Care, Dressings","SG017","bandage, Kling, non-sterile 2in","item",0.36,1.00,,"XXX",,,
"97022","RUC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"XXX",,,
"97022","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,5.00,,"XXX",,,
"97022","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,,"XXX",,,
"97022","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,,"XXX",,,
"97022","RUC","Infection Control","SM026","whirlpool antiseptic (80gm pack) (Chlorazene)","item",1.68,1.00,,"XXX",,,
"97024","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"97026","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"97028","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"97032","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,2.00,,"XXX",,,
"97032","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX",,,
"97032","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"97032","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,,
"97032","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"97032","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"97033","RUC","Kit, Pack, Tray","SA014","kit, electrode, iontophoresis","kit",11.99,1.00,,"XXX",,,
"97033","RUC","Hypodermic, IV","SC052","syringe 1ml","item",0.14,1.00,,"XXX",,,
"97033","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,,"XXX",,,
"97033","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"97033","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"97033","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"97034","RUC","Infection Control","SM026","whirlpool antiseptic (80gm pack) (Chlorazene)","item",1.68,1.00,,"XXX",,,
"97035","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"XXX",,,
"97036","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"97036","RUC","Infection Control","SM026","whirlpool antiseptic (80gm pack) (Chlorazene)","item",1.68,1.00,,"XXX",,,
"97039","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"97110","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97110","RUC","Pharmacy, NonRx","SJ056","Thera-bands (6in width)","foot",0.60,1.50,,"XXX",,,
"97112","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97112","RUC","Pharmacy, NonRx","SJ056","Thera-bands (6in width)","foot",0.60,1.50,,"XXX",,,
"97113","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97113","RUC","Gown, Drape","SB041","swimsuit, female for hydrotherapy","item",6.87,1.00,,"XXX",,,
"97113","RUC","Lab","SL032","culture media","ml",0.01,10.00,,"XXX",,,
"97113","RUC","Lab","SL033","culture swab system (Culturette)","item",0.86,1.00,,"XXX",,,
"97116","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97116","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,1.00,,"XXX",,,
"97124","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97124","RUC","Office Supply, Grocery","SK046","lotion, massage, unscented","oz",0.15,0.50,,"XXX",,,
"97139","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97139","RUC","Pharmacy, NonRx","SJ056","Thera-bands (6in width)","foot",0.60,1.50,,"XXX",,,
"97140","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX",,,
"97140","RUC","Office Supply, Grocery","SK046","lotion, massage, unscented","oz",0.15,0.50,,"XXX",,,
"97150","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,,,"CPT13","Mar 16"
"97150","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,1.00,,,,"CPT13","Mar 16"
"97150","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,,,,"CPT13","Mar 16"
"97150","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,1.00,,,,"CPT13","Mar 16"
"97150","RUC","Infection Control","SM024","soap, liquid, antibacterial","oz",0.20,1.00,,,,"CPT13","Mar 16"
"97530","RUC","Kit, Pack, Tray","SA040","kit, woodworking","kit",12.99,0.25,,"XXX",,,
"97532","RUC","Kit, Pack, Tray","SA001","kit, activity-crafts","kit",2.25,1.00,,"XXX",,,
"97533","RUC","Kit, Pack, Tray","SA028","kit, sensory integration","kit",2.08,1.00,,"XXX",,,
"97533","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"97533","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"XXX",,,
"97535","RUC","Kit, Pack, Tray","SA007","kit, cooking activity ingredients (mac-cheese)","kit",1.11,1.00,,"XXX",,,
"97535","RUC","Office Supply, Grocery","SK009","bath soap (one bar uou)","item",0.68,0.50,,"XXX",,,
"97535","RUC","Office Supply, Grocery","SK080","toothbrush","item",0.80,1.00,,"XXX",,,
"97535","RUC","Office Supply, Grocery","SK081","toothpaste","oz",0.49,0.25,,"XXX",,,
"97535","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,2.00,,"XXX",,,
"97537","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"97542","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"97545","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"97546","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"ZZZ",,,
"97597","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,72.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"XXX",,"CPT11","82"
"97597","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"XXX",,"CPT11","82"
"97598","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,1.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"ZZZ",,"CPT11","82"
"97598","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"ZZZ",,"CPT11","82"
"97602","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,,"XXX",,,
"97602","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"XXX",,,
"97602","RUC","Gown, Drape","SB026","gown, patient","item",0.53,2.00,,"XXX",,,
"97602","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,,
"97602","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"97602","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"97602","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"97602","RUC","Wound Care, Dressings","SG012","bandage, elastic wrap 4in (Ace)","item",1.17,1.00,,"XXX",,,
"97602","RUC","Wound Care, Dressings","SG020","bandage, Kling, sterile 4in","item",1.06,1.00,,"XXX",,,
"97602","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,,"XXX",,,
"97602","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"97605","RUC","Kit, Pack, Tray","SA029","kit, sharp debridement","kit",4.11,0.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB026","gown, patient","item",0.53,2.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,,
"97605","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,,
"97605","RUC","Accessory, Procedure","SD143","canister set, drainage, negative pressure (VAC)","item",29.35,0.00,0.00,"XXX",,,
"97605","RUC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,0.00,0.00,"XXX",,,
"97605","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,,
"97605","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,,
"97605","RUC","Wound Care, Dressings","SG084","dressing, micro-porous (VersaFoam)","item",9.22,0.00,0.00,"XXX",,,
"97605","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,1.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,1.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB026","gown, patient","item",0.53,2.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,,
"97606","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX",,,
"97606","RUC","Accessory, Procedure","SD143","canister set, drainage, negative pressure (VAC)","item",29.35,0.00,0.00,"XXX",,,
"97606","RUC","Wound Care, Dressings","SG040","dressing, 5in x 9in (Adaptic)","item",2.31,0.00,0.00,"XXX",,,
"97606","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,1.00,0.00,"XXX",,,
"97606","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"XXX",,,
"97606","RUC","Wound Care, Dressings","SG084","dressing, micro-porous (VersaFoam)","item",9.22,0.00,0.00,"XXX",,,
"97606","RUC","Infection Control","SM020","lotion, antibacterial","oz",0.30,1.00,0.00,"XXX",,,
"97750","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"97755","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,0.20,,"XXX",,,
"97755","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,24.00,,"XXX",,,
"97755","RUC","Office Supply, Grocery","SK020","drinking straw","item",0.01,0.30,,"XXX",,,
"97755","RUC","Office Supply, Grocery","SK039","foam 3in, therapy positioning (per 1 sq in)","item",0.01,6.00,,"XXX",,,
"97755","RUC","Office Supply, Grocery","SK084","Velcro, standard","foot",0.37,0.20,,"XXX",,,
"97755","RUC","Office Supply, Grocery","SK085","Velcro, strong (Poly-Lock)","foot",2.82,0.20,,"XXX",,,
"97760","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX","97504",,
"97760","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX","97504",,
"97760","RUC","Wound Care, Dressings","SG002","adhesive bonder, orthotic","oz",0.37,0.50,,"XXX","97504",,
"97760","RUC","Pharmacy, Rx","SH035","fluori-methane (cold spray)","ml",0.42,7.50,,"XXX","97504",,
"97760","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,128.00,,"XXX","97504",,
"97761","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,0.50,,"XXX","97520",,
"97761","RUC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,1.00,,"XXX","97520",,
"97761","RUC","Wound Care, Dressings","SG058","moleskin 9in width","foot",3.45,0.33,,"XXX","97520",,
"97762","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX","97703",,
"97762","RUC","Wound Care, Dressings","SG002","adhesive bonder, orthotic","oz",0.37,0.50,,"XXX","97703",,
"97762","RUC","Wound Care, Dressings","SG027","cast, stockinette 4in","yd",0.45,0.50,,"XXX","97703",,
"97762","RUC","Wound Care, Dressings","SG058","moleskin 9in width","foot",3.45,1.00,,"XXX","97703",,
"97762","RUC","Wound Care, Dressings","SG060","outrigger line","yd",0.09,50.00,,"XXX","97703",,
"97762","RUC","Wound Care, Dressings","SG061","outrigger post","item",0.39,4.00,,"XXX","97703",,
"97762","RUC","Pharmacy, Rx","SH035","fluori-methane (cold spray)","ml",0.42,7.50,,"XXX","97703",,
"97762","RUC","Pharmacy, NonRx","SJ047","splint straps 1in","item",1.29,1.00,,"XXX","97703",,
"97762","RUC","Pharmacy, NonRx","SJ048","splint straps 2in","item",1.52,2.00,,"XXX","97703",,
"97762","RUC","Office Supply, Grocery","SK071","rubber bands, non-sterile","item",0.02,6.00,,"XXX","97703",,
"97762","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,128.00,,"XXX","97703",,
"97799","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"97802","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,0.25,0.00,"XXX",,"CPT09","rv"
"97802","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"CPT09","rv"
"97802","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.25,0.00,"XXX",,"CPT09","rv"
"97803","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,0.25,0.00,"XXX",,"CPT09","rv"
"97803","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"CPT09","rv"
"97803","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.25,0.00,"XXX",,"CPT09","rv"
"97804","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,0.25,0.00,"XXX",,"PFS09","rv"
"97804","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"PFS09","rv"
"97804","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.10,0.00,"XXX",,"PFS09","rv"
"97810","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX",,,
"97810","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,,
"97810","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX",,,
"97810","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,,
"97810","RUC","Hypodermic, IV","SC075","needle, acupuncture","item",0.09,12.00,0.00,"XXX",,,
"97810","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"97811","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"ZZZ",,,
"97811","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"ZZZ",,,
"97811","RUC","Hypodermic, IV","SC075","needle, acupuncture","item",0.09,12.00,0.00,"ZZZ",,,
"97811","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"ZZZ",,,
"97813","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"97813","RUC","Hypodermic, IV","SC075","needle, acupuncture","item",0.09,12.00,0.00,"XXX",,,
"97813","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,,
"97814","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"ZZZ",,,
"97814","RUC","Hypodermic, IV","SC075","needle, acupuncture","item",0.09,12.00,0.00,"ZZZ",,,
"97814","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"ZZZ",,,
"98925","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","Feb 18"
"98926","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","Feb 18"
"98927","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","Feb 18"
"98928","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","Feb 18"
"98929","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000",,"CPT12","Feb 18"
"98940","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"98940","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"98941","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"98941","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"98942","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000",,,
"98942","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"98943","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"98943","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"98960","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.25,,"XXX",,"RUC05",
"98961","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.25,,"XXX",,"RUC05",
"98962","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.25,,"XXX",,"RUC05",
"98966","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","HP"
"98967","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","T"
"98968","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","HP"
"98969","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT08","U"
"99000","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99001","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99002","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99024","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99026","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"99027","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"99050","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99056","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99058","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99070","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99071","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99075","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99078","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99080","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99082","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"99090","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"99091","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"99100","RUC","NO DETAILS","SX002","BUNDLED",,,,,"ZZZ",,,
"99116","RUC","NO DETAILS","SX002","BUNDLED",,,,,"ZZZ",,,
"99135","RUC","NO DETAILS","SX002","BUNDLED",,,,,"ZZZ",,,
"99140","RUC","NO DETAILS","SX002","BUNDLED",,,,,"ZZZ",,,
"99143","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"RUC05",
"99144","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"XXX",,"RUC05",
"99145","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"99148","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99149","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99150","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"RUC05",
"99170","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"000",,"Jan04","17"
"99170","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000",,"Jan04","17"
"99170","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,0.00,"000",,"Jan04","17"
"99170","RUC","Office Supply, Grocery","SK029","film, instant (Polaroid) (per exposure)","item",1.82,4.00,0.00,"000",,"Jan04","17"
"99172","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"99173","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Jan04","14"
"99174","RUC","Office Supply, Grocery","SK058","paper, photo printing (8.5 x 11)","item",0.45,1.00,,"XXX",,"APR08","54"
"99174","RUC","Office Supply, Grocery","SK110","fee, image analysis","item",18.00,1.00,0.00,"XXX",,"APR08","54"
"99174","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,1.00,0.00,"XXX",,"APR08","54"
"99175","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"XXX",,"Jan04","14"
"99175","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,1.00,0.00,"XXX",,"Jan04","14"
"99175","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,0.00,"XXX",,"Jan04","14"
"99175","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,0.00,"XXX",,"Jan04","14"
"99175","RUC","Pharmacy, NonRx","SJ030","ipecac syrup (1oz uou)","item",1.88,1.00,0.00,"XXX",,"Jan04","14"
"99183","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX",,,
"99183","RUC","Accessory, Procedure","SD077","gas, air","cu ft",0.02,187.00,0.00,"XXX",,,
"99183","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,180.00,0.00,"XXX",,,
"99183","RUC","Pharmacy, NonRx","SJ016","denture cup","item",0.18,1.00,0.00,"XXX",,,
"99183","RUC","Pharmacy, NonRx","SJ063","urinal","item",2.89,1.00,0.00,"XXX",,,
"99183","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"XXX",,,
"99183","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,2.00,0.00,"XXX",,,
"99190","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"99191","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"99192","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"99195","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,,
"99195","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,,
"99195","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,,
"99195","RUC","Hypodermic, IV","SC004","blood collection bag","item",5.15,1.00,,"XXX",,,
"99195","RUC","Wound Care, Dressings","SG014","bandage, elastic, self-adherent wrap 1in (Coban)","item",1.30,1.00,,"XXX",,,
"99195","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,,"XXX",,,
"99195","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,,"XXX",,,
"99195","RUC","Wound Care, Dressings","SG049","eye shield, non-fog","item",0.52,1.00,,"XXX",,,
"99195","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,,
"99195","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,3.00,,"XXX",,,
"99195","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,3.00,,"XXX",,,
"99199","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"99201","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99202","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99203","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99204","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99205","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99211","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99212","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99213","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99214","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99215","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99217","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99218","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99219","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99220","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99221","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99222","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99223","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99231","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99232","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99233","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99234","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99235","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99236","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99238","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99239","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99241","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99242","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99243","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99244","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99245","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,,
"99251","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99252","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99253","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99254","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99255","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99281","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99282","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99283","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99284","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99285","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99288","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99291","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Hypodermic, IV","SC001","angiocatheter 14g-24g","item",1.50,1.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Hypodermic, IV","SC018","iv infusion set","item",1.11,2.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,1.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,120.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Wound Care, Dressings","SG021","bandage, strip 0.75in x 3in (Bandaid)","item",0.04,1.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,2.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Pharmacy, Rx","SH075","water, sterile inj","ml",0.02,30.00,0.00,"XXX",,"Mar03","20"
"99291","RUC","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,0.00,"XXX",,"Mar03","20"
"99292","RUC","Accessory, Procedure","SD084","gas, oxygen","liter",3.0e-03,60.00,0.00,"ZZZ",,"Mar03","20"
"99292","RUC","Pharmacy, Rx","SH067","sodium chloride 0.9% inj (250-1000ml uou)","item",1.70,1.00,0.00,"ZZZ",,"Mar03","20"
"99304","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99305","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99306","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99307","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99308","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99309","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99310","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99315","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","M"
"99316","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar04","M"
"99318","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99324","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99324","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99324","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99324","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99324","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99324","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99325","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99325","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99325","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99325","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99325","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99325","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99326","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99326","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99326","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99326","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99326","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99326","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99327","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99327","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99327","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99327","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99327","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99327","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99328","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99328","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99328","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99328","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99328","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99328","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99334","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99334","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99334","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99334","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99334","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99334","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99335","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99335","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99335","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99335","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99335","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99335","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99336","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99336","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99336","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99336","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99336","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99336","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99337","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99337","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"RUC05",
"99337","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"RUC05",
"99337","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"RUC05",
"99337","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"RUC05",
"99337","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"RUC05",
"99339","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99340","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"RUC05",
"99341","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99341","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99341","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99341","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99341","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99341","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99342","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99342","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99342","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99342","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99342","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99342","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99343","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99343","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99343","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99343","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99343","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99343","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99344","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99344","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99344","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99344","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99344","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99344","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99345","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99345","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99345","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99345","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99345","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99345","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99347","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99347","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99347","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99347","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99347","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99347","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99348","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99348","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99348","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99348","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99348","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99348","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99349","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99349","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99349","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99349","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99349","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99349","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99350","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99350","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,0.00,"XXX",,"Mar03","20"
"99350","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"XXX",,"Mar03","20"
"99350","RUC","Pharmacy, NonRx","SJ061","tongue depressor","item",0.01,1.00,0.00,"XXX",,"Mar03","20"
"99350","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99350","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,1.00,0.00,"XXX",,"Mar03","20"
"99354","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Mar03","20"
"99355","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Mar03","20"
"99356","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Mar03","20"
"99357","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Mar03","20"
"99358","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Mar03","20"
"99359","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,"Mar03","20"
"99360","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99363","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"CPT07",
"99364","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT07",
"99366","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.33,,"XXX",,"CPT08","HP"
"99367","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","T"
"99368","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","HP"
"99374","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99375","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99377","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99378","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99379","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99380","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99381","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99381","RUC","Gown, Drape","SB032","liner, baby scale","item",0.07,1.00,0.00,"XXX",,"Mar03","20"
"99381","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar03","20"
"99382","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99382","RUC","Gown, Drape","SB032","liner, baby scale","item",0.07,1.00,0.00,"XXX",,"Mar03","20"
"99382","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar03","20"
"99383","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99384","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99385","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99386","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99387","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99391","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99391","RUC","Gown, Drape","SB032","liner, baby scale","item",0.07,1.00,0.00,"XXX",,"Mar03","20"
"99391","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar03","20"
"99392","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99392","RUC","Gown, Drape","SB032","liner, baby scale","item",0.07,1.00,0.00,"XXX",,"Mar03","20"
"99392","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX",,"Mar03","20"
"99393","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99394","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99395","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99396","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99397","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99401","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99402","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99403","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99404","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99406","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT08","V"
"99407","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT08","V"
"99408","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT08","W"
"99409","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT08","W"
"99411","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99411","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99412","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX",,"Mar03","20"
"99412","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99420","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"Mar03","20"
"99429","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"99441","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","U"
"99442","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","U"
"99443","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","U"
"99444","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,"CPT08","U"
"99450","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99455","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99456","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"Mar03","20"
"99460","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99431","Mar03","rn"
"99461","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,0.00,"XXX","99432","Mar03","rn"
"99461","RUC","Gown, Drape","SB032","liner, baby scale","item",0.07,1.00,0.00,"XXX","99432","Mar03","rn"
"99461","RUC","Office Supply, Grocery","SK048","measuring tape, paper","item",0.04,1.00,0.00,"XXX","99432","Mar03","rn"
"99462","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99433","Mar03","rn"
"99463","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99435","Mar03","rn"
"99464","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99436","Mar03","rn"
"99465","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99440","Mar03","rn"
"99466","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99289","Mar03","20"
"99467","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ","99290","Mar03","20"
"99468","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99295","Mar03","rn"
"99469","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99296","Mar03","rn"
"99471","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99293","Mar03","rn"
"99472","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99294","Mar03","rn"
"99475","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","31"
"99476","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT09","31"
"99477","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CPT08","S"
"99478","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99298","Mar03","rn"
"99479","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99299","Mar03","rn"
"99480","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,,"XXX","99300","RUC05","rn"
"99499","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"99500","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99501","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99502","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99503","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99504","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99505","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99506","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99507","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99509","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99510","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99511","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99512","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"99600","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"0019T","RUC","NO DETAILS","SX009","NOT VALID",,,,,"XXX",,,
"0030T","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"0042T","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"XXX",,,
"A4890","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0150","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0240","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0250","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0260","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0270","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0272","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0274","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0277","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0460","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0472","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0473","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0474","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0480","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D0502","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D0999","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D1510","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D1515","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D1520","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D1525","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D1550","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D2970","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D2999","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D3460","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D3999","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D4260","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D4263","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D4264","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D4268","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D4270","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D4271","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D4273","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D4355","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D4381","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D5911","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D5912","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D5951","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D5983","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D5984","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D5985","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D5987","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D6920","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7111","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D7140","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7210","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D7220","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D7230","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D7240","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7241","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7250","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7260","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7261","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7291","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D7940","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D9110","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D9230","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D9248","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D9630","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"XXX",,,
"D9930","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D9940","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D9950","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D9951","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"D9952","RUC","NO DETAILS","SX010","RESTRICTED",,,,,"YYY",,,
"G0008","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0009","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0010","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0027","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0101","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX","99212",,
"G0102","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0103","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0104","RUC","Gown, Drape","SB004","cover, thermometer probe","item",0.03,1.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,5.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,3.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,3.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000","45330",,
"G0104","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"000","45330",,
"G0104","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000","45330",,
"G0104","RUC","Accessory, Procedure","SD040","cytology, brush","item",0.20,1.00,,"000","45330",,
"G0104","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000","45330",,
"G0104","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,3.00,,"000","45330",,
"G0104","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,10.00,,"000","45330",,
"G0104","RUC","Pharmacy, NonRx","SJ001","alcohol isopropyl 70%","ml",2.0e-03,3.00,,"000","45330",,
"G0104","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000","45330",,
"G0104","RUC","Pharmacy, NonRx","SJ032","lubricating jelly (K-Y) (5gm uou)","item",0.06,4.00,,"000","45330",,
"G0104","RUC","Office Supply, Grocery","SK087","water, distilled","oz",0.01,6.00,,"000","45330",,
"G0104","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"000","45330",,
"G0104","RUC","Infection Control","SM010","cleaning brush, endoscope","item",4.99,1.00,,"000","45330",,
"G0104","RUC","Infection Control","SM015","enzymatic detergent","oz",0.22,1.00,,"000","45330",,
"G0104","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,6.40,,"000","45330",,
"G0104","RUC","Infection Control","SM019","glutaraldehyde test strips (Cidex, Metrex)","item",1.01,1.00,,"000","45330",,
"G0105","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,,"000","45380",,
"G0105","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000","45380",,
"G0105","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000","45380",,
"G0105","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000","45380",,
"G0105","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000","45380",,
"G0105","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000","45380",,
"G0105","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000","45380",,
"G0105","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000","45380",,
"G0105","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"000","45380",,
"G0105","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000","45380",,
"G0105","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000","45380",,
"G0105","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000","45380",,
"G0105","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000","45380",,
"G0105","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,,"000","45380",,
"G0105","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"000","45380",,
"G0105","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000","45380",,
"G0105","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000","45380",,
"G0105","RUC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"000","45380",,
"G0105","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000","45380",,
"G0105","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"000","45380",,
"G0106","RUC","Kit, Pack, Tray","SA004","kit, barium with insufflator","kit",32.98,1.00,,"XXX","74280",,
"G0106","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX","74280",,
"G0106","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","74280",,
"G0106","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","74280",,
"G0106","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX","74280",,
"G0106","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,,,"XXX","74280",,
"G0106","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,,"XXX","74280",,
"G0106","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,9.00,,"XXX","74280",,
"G0106","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"XXX","74280",,
"G0108","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,0.50,0.00,"XXX","G0420","CPT11",
"G0108","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,4.00,0.00,"XXX","G0420","CPT11",
"G0108","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX","G0420","CPT11",
"G0109","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,0.25,0.00,"XXX","G0420","CPT11",
"G0109","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX","G0420","CPT11",
"G0109","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.10,0.00,"XXX","G0420","CPT11",
"G0117","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","92012","Apr06","J"
"G0117","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX","92012",,
"G0117","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","92012",,
"G0118","RUC","Kit, Pack, Tray","SA082","pack, ophthalmology visit (w-dilation)","pack",1.99,1.00,0.00,"XXX","92012","Apr06","J"
"G0118","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,3.00,,"XXX","92012",,
"G0118","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","92012",,
"G0120","RUC","Kit, Pack, Tray","SA004","kit, barium with insufflator","kit",32.98,1.00,,"XXX","74280",,
"G0120","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX","74280",,
"G0120","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","74280",,
"G0120","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","74280",,
"G0120","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX","74280",,
"G0120","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,,,"XXX","74280",,
"G0120","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,,"XXX","74280",,
"G0120","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,9.00,,"XXX","74280",,
"G0120","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"XXX","74280",,
"G0121","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,6.00,,"000","45380",,
"G0121","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,2.00,,"000","45380",,
"G0121","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"000","45380",,
"G0121","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,2.00,,"000","45380",,
"G0121","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,3.00,,"000","45380",,
"G0121","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000","45380",,
"G0121","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,3.00,,"000","45380",,
"G0121","RUC","Hypodermic, IV","SC019","iv tubing (extension)","foot",0.53,1.00,,"000","45380",,
"G0121","RUC","Hypodermic, IV","SC029","needle, 18-27g","item",0.08,3.00,,"000","45380",,
"G0121","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,2.00,,"000","45380",,
"G0121","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000","45380",,
"G0121","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"000","45380",,
"G0121","RUC","Accessory, Procedure","SD009","canister, suction","item",3.90,1.00,,"000","45380",,
"G0121","RUC","Accessory, Procedure","SD031","catheter, suction","item",0.62,1.00,,"000","45380",,
"G0121","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,4.00,,"000","45380",,
"G0121","RUC","Accessory, Procedure","SD134","tubing, suction, non-latex (6ft) with Yankauer tip (1)","item",2.96,1.00,,"000","45380",,
"G0121","RUC","Cutters, Closures, Cautery","SF021","cautery, patient ground pad w-cord","item",3.07,1.00,,"000","45380",,
"G0121","RUC","Wound Care, Dressings","SG076","tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)","item",3.42,1.00,,"000","45380",,
"G0121","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000","45380",,
"G0122","RUC","Kit, Pack, Tray","SA004","kit, barium with insufflator","kit",32.98,1.00,,"XXX","74280",,
"G0122","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,2.00,,"XXX","74280",,
"G0122","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX","74280",,
"G0122","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX","74280",,
"G0122","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX","74280",,
"G0122","RUC","Pharmacy, Rx","SH016","barium suspension (Polibar)","ml",0.01,,,"XXX","74280",,
"G0122","RUC","Office Supply, Grocery","SK033","film, x-ray 10in x 12in","item",0.62,8.00,,"XXX","74280",,
"G0122","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,9.00,,"XXX","74280",,
"G0122","RUC","Office Supply, Grocery","SK093","x-ray ID card (flashcard)","item",0.06,1.00,,"XXX","74280",,
"G0123","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0124","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX","88151",,
"G0124","RUC","Accessory, Procedure","SD040","cytology, brush","item",0.20,1.00,,"XXX","88151",,
"G0124","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,4.00,,"XXX","88151",,
"G0124","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX","88151",,
"G0124","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"XXX","88151",,
"G0124","RUC","Lab","SL071","fixative spray","ml",0.04,1.00,,"XXX","88151",,
"G0124","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX","88151",,
"G0124","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.60,,"XXX","88151",,
"G0124","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,,"XXX","88151",,
"G0124","RUC","Lab","SL137","stain, PAP EA-50","ml",0.03,3.00,,"XXX","88151",,
"G0127","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,,"000",,,
"G0127","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000",,,
"G0127","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"000",,,
"G0127","RUC","Gown, Drape","SB040","slippers, paper","pair",0.20,1.00,,"000",,,
"G0127","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,,"000",,,
"G0127","RUC","Cutters, Closures, Cautery","SF009","blade, surgical chisel 81-86 (Beaver)","item",3.30,1.00,,"000",,,
"G0127","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"G0127","RUC","Wound Care, Dressings","SG051","gauze, non-sterile 4in x 4in","item",0.03,2.00,,"000",,,
"G0127","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,,"000",,,
"G0127","RUC","Pharmacy, NonRx","SJ043","povidone swabsticks (3 pack uou)","item",0.40,1.00,,"000",,,
"G0127","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000",,,
"G0128","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CORF","99"
"G0130","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX",,,
"G0130","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,0.00,"XXX",,,
"G0130","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0141","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0143","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0144","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0145","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0147","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0148","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0166","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"G0166","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"G0166","RUC","Gown, Drape","SB037","pillow case","item",0.30,1.00,,"XXX",,,
"G0166","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,3.00,,"XXX",,,
"G0166","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,,
"G0166","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX",,,
"G0166","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"G0168","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,,"000","12001",,
"G0168","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,,"000","12001",,
"G0168","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,4.00,2.00,"000","12001",,
"G0168","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,,"000","12001",,
"G0168","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,1.00,"000","12001",,
"G0168","RUC","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"000","12001",,
"G0168","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,14.00,7.00,"000","12001",,
"G0168","RUC","Hypodermic, IV","SC064","syringe-needle 3ml 22-26g","item",0.16,1.00,,"000","12001",,
"G0168","RUC","Cutters, Closures, Cautery","SF033","scalpel with blade, surgical (#10-20)","item",0.69,1.00,,"000","12001",,
"G0168","RUC","Wound Care, Dressings","SG007","adhesive, skin (Dermabond)","item",30.06,1.00,,"000",,,
"G0168","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,1.00,1.00,"000","12001",,
"G0168","RUC","Wound Care, Dressings","SG054","gauze, sterile 3in x 3in","item",0.09,6.00,,"000","12001",,
"G0168","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,2.00,"000","12001",,
"G0168","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,20.00,,"000","12001",,
"G0168","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,20.00,10.00,"000","12001",,
"G0168","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,10.00,,"000","12001",,
"G0168","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"000","12001",,
"G0173","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0175","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0176","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0177","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0179","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99375",,
"G0180","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99375",,
"G0181","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99375",,
"G0182","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX","99378",,
"G0186","RUC","NO DETAILS","SX003","CONTRACTOR PRICED",,,,,"YYY",,,
"G0202","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0204","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0206","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0219","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"G0235","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"G0237","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"G0238","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"G0239","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,,,,
"G0245","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX","99202",,
"G0246","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX","99212",,
"G0247","RUC","Kit, Pack, Tray","SA043","pack, cleaning, surgical instruments","pack",5.33,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Gown, Drape","SB007","drape, sterile barrier 16in x 29in","item",0.49,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Gown, Drape","SB011","drape, sterile, fenestrated 16in x 29in","item",0.55,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Gown, Drape","SB012","drape, sterile, for Mayo stand","item",1.68,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Gown, Drape","SB042","towel, non-sterile","item",0.39,2.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,2.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Wound Care, Dressings","SG018","bandage, Kling, non-sterile 3in","item",0.50,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Wound Care, Dressings","SG052","gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)","inch",3.0e-03,72.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,2.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,12.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Pharmacy, Rx","SH069","sodium chloride 0.9% irrigation (500-1000ml uou)","item",2.07,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Pharmacy, NonRx","SJ009","basin, irrigation","item",1.54,1.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Pharmacy, NonRx","SJ028","hydrogen peroxide","ml",3.0e-03,10.00,0.00,"XXX","97597","CPT12",
"G0247","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,1.00,0.00,"XXX","97597","CPT12",
"G0248","RUC","Hypodermic, IV","SC021","lancet","item",0.03,4.00,,"XXX",,,
"G0248","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"G0248","RUC","Pharmacy, NonRx","SJ055","test strip, INR","item",21.87,4.00,,"XXX",,,
"G0248","RUC","Office Supply, Grocery","SK011","battery, AAA","item",0.48,3.00,,"XXX",,,
"G0248","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,,
"G0249","RUC","Hypodermic, IV","SC021","lancet","item",0.03,4.00,,"XXX",,,
"G0249","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,4.00,,"XXX",,,
"G0249","RUC","Pharmacy, NonRx","SJ055","test strip, INR","item",21.87,4.00,,"XXX",,,
"G0250","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"G0251","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0252","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"G0255","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"G0257","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0259","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0260","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0268","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"000",,,
"G0268","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,2.00,,"000",,,
"G0268","RUC","Hypodermic, IV","SC053","syringe 20ml","item",0.55,1.00,,"000",,,
"G0268","RUC","Cutters, Closures, Cautery","SF023","curette for ear cerumen","item",0.91,2.00,,"000",,,
"G0268","RUC","Wound Care, Dressings","SG008","applicator, cotton-tipped, non-sterile 6in","item",7.0e-03,2.00,,"000",,,
"G0268","RUC","Pharmacy, NonRx","SJ010","basin, emesis","item",0.21,1.00,,"000",,,
"G0268","RUC","Infection Control","SM025","specula tips, otoscope","item",0.03,2.00,,"000",,,
"G0269","RUC","NO DETAILS","SX002","BUNDLED",,,,,"XXX",,,
"G0270","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX","97803","PFS07",
"G0270","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"XXX","97803","PFS07",
"G0270","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX","97803","PFS07",
"G0270","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.33,,"XXX","97803",,
"G0271","RUC","Office Supply, Grocery","SK014","computer media, floppy disk 1.44mb","item",0.22,1.00,,"XXX","97804","PFS07",
"G0271","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"XXX","97804","PFS07",
"G0271","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX","97804","PFS07",
"G0271","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.10,,"XXX","97804",,
"G0275","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"G0278","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"G0281","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"G0281","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,2.00,,"XXX",,,
"G0281","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"G0281","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"XXX",,,
"G0281","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"G0281","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"G0282","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"G0282","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,2.00,,"XXX",,,
"G0282","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"G0282","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"XXX",,,
"G0282","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"G0282","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"G0283","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,,
"G0283","RUC","Accessory, Procedure","SD055","electrode, electrical stimulation","item",1.31,2.00,,"XXX",,,
"G0283","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,,
"G0283","RUC","Pharmacy, NonRx","SJ024","electrolyte coupling gel","ml",0.01,1.00,,"XXX",,,
"G0283","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,1.00,,"XXX",,,
"G0283","RUC","Office Supply, Grocery","SK068","razor","item",0.38,1.00,,"XXX",,,
"G0288","RUC","NO DETAILS","SX001","ACTIVE",,,,,"XXX",,,
"G0289","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"ZZZ",,,
"G0290","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0291","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0293","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0294","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0295","RUC","NO DETAILS","SX008","NONCOVERED",,,,,"XXX",,,
"G0329","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,,"XXX",,,
"G0329","RUC","Gown, Drape","SB049","condom, Diapulse, Asepticap","item",0.69,1.00,,"XXX",,,
"G0329","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX",,,
"G0341","RUC","Kit, Pack, Tray","SA016","kit, guidewire introducer (Micro-Stick)","kit",23.00,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Kit, Pack, Tray","SA019","kit, iv starter","kit",1.36,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Kit, Pack, Tray","SA044","pack, moderate sedation","pack",17.31,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Kit, Pack, Tray","SA067","tray, shave prep","tray",1.81,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Kit, Pack, Tray","SA071","kit, AccuStick II Introducer System with RO Marker","kit",82.62,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB001","cap, surgical","item",0.20,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB008","drape, sterile, c-arm, fluoro","item",4.50,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB009","drape, sterile, femoral","item",15.94,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB019","drape-towel, sterile 18in x 26in","item",0.28,4.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,3.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB028","gown, surgical, sterile","item",4.67,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB034","mask, surgical, with face shield","item",1.19,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB039","shoe covers, surgical","pair",0.33,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Hypodermic, IV","SC008","catheter, angiographic, pig-tail","item",19.75,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Hypodermic, IV","SC010","closed flush system, angiography","item",11.88,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Hypodermic, IV","SC058","syringe w-needle, OSHA compliant (SafetyGlide)","item",0.43,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD089","guidewire, hydrophilic","item",35.50,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD136","vascular sheath","item",20.50,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD147","catheter, (Glide)","item",62.00,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD148","catheter, (SIM2F1)","item",17.00,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD153","catheter, curved","item",17.77,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD154","catheter, microcatheter (selective 3rd order)","item",337.88,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD171","guidewire bowl w-lid, sterile","item",3.00,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD172","guidewire, cerebral (Bentson)","item",14.50,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Accessory, Procedure","SD175","guidewire, steerable (Transcend)","item",180.00,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Cutters, Closures, Cautery","SF007","blade, surgical (Bard-Parker)","item",0.53,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Wound Care, Dressings","SG009","applicator, sponge-tipped","item",0.13,4.00,0.00,"000",,"CPT12",
"G0341","RUC","Wound Care, Dressings","SG035","dressing, 3in x 4in (Telfa, Release)","item",0.14,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Wound Care, Dressings","SG037","dressing, 4in x 4.75in (Tegaderm)","item",1.77,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,1.00,0.00,"000",,"CPT12",
"G0341","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,0.00,"000",,"CPT12",
"G0341","RUC","Pharmacy, Rx","SH039","heparin 1,000 units-ml inj","ml",0.19,5.00,0.00,"000",,"CPT12",
"G0341","RUC","Pharmacy, Rx","SH047","lidocaine 1%-2% inj (Xylocaine)","ml",0.03,10.00,0.00,"000",,"CPT12",
"G0341","RUC","Pharmacy, Rx","SH065","sodium chloride 0.9% flush syringe","item",0.81,2.00,0.00,"000",,"CPT12",
"G0341","RUC","Pharmacy, NonRx","SJ041","povidone soln (Betadine)","ml",8.0e-03,60.00,0.00,"000",,"CPT12",
"G0341","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,1.00,0.00,"000",,"CPT12",
"G0342","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,2.50,"090","47563","CPT12",
"G0342","RUC","Kit, Pack, Tray","SA052","pack, post-op incision care (staple)","pack",5.05,,1.00,"090","47563","CPT12",
"G0343","RUC","Kit, Pack, Tray","SA031","kit, suture removal","kit",1.05,,1.00,"090","47420",,
"G0343","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090",,"Apr06","J"
"G0343","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","47420","CPT12",
"G0343","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,,3.00,"090","47420",,
"G0343","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,,6.00,"090","47420",,
"G0343","RUC","Gown, Drape","SB027","gown, staff, impervious","item",1.18,,6.00,"090","47420",,
"G0343","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,,1.00,"090","47420",,
"G0343","RUC","Wound Care, Dressings","SG039","dressing, 5in x 9in (ABD-Combine)","item",0.27,,3.00,"090","47420",,
"G0343","RUC","Wound Care, Dressings","SG056","gauze, sterile 4in x 4in (10 pack uou)","item",0.79,,3.00,"090","47420",,
"G0343","RUC","Wound Care, Dressings","SG074","steri-strip (6 strip uou)","item",1.11,,3.00,"090","47420",,
"G0343","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,,18.00,"090","47420",,
"G0343","RUC","Pharmacy, Rx","SH074","water, sterile for irrigation (250-1000ml uou)","item",2.09,,0.50,"090","47420",,
"G0343","RUC","Pharmacy, NonRx","SJ046","silver nitrate applicator","item",0.07,,3.00,"090","47420",,
"G0364","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"G0365","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX","93971",,
"G0365","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX","93971",,
"G0365","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT12",
"G0365","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,30.00,,"XXX",,"CPT12",
"G0365","RUC","Office Supply, Grocery","SK022","film, 8inx10in (ultrasound, MRI)","item",0.92,2.00,,"XXX","93971",,
"G0365","RUC","Office Supply, Grocery","SK034","film, x-ray 14in x 17in","item",1.17,2.00,,"XXX",,"CPT12",
"G0365","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","93971",,
"G0365","RUC","Office Supply, Grocery","SK086","video tape, VHS","item",2.04,1.00,,"XXX","93971",,
"G0365","RUC","Infection Control","SM018","glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)","oz",0.16,0.34,,"XXX","93971",,
"G0365","RUC","Infection Control","SM022","sanitizing cloth-wipe (surface, instruments, equipment)","item",0.04,2.00,,"XXX","93971",,
"G0389","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,2.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Gown, Drape","SB044","underpad 2ft x 3ft (Chux)","item",0.23,1.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Pharmacy, NonRx","SJ062","ultrasound transmission gel","ml",0.01,60.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Office Supply, Grocery","SK091","x-ray envelope","item",0.15,1.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Office Supply, Grocery","SK098","film, x-ray, laser print","item",1.43,3.00,0.00,"XXX","76775","CPT07",
"G0389","RUC","Infection Control","SM013","disinfectant, surface (Envirocide, Sanizide)","oz",0.16,0.33,0.00,"XXX","76775","CPT07",
"G0389","RUC","Infection Control","SM021","sanitizing cloth-wipe (patient)","item",0.03,2.00,0.00,"XXX","76775","CPT07",
"G0396","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","99408","CPT08","W"
"G0397","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX","99409","CPT08","W"
"G0402","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,"CPT11",
"G0402","RUC","Office Supply, Grocery","SK100","preventive assessment forms","item",3.00,1.00,,"XXX",,"CPT11",
"G0403","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX","93000",,
"G0403","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX","93000",,
"G0403","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX","93000",,
"G0409","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,"CORF","09"
"G0412","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,3.00,"090","27215","CPT09","rv"
"G0412","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","27215","CPT09","rv"
"G0413","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","27216","CPT09","rv"
"G0413","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","27216","CPT09","rv"
"G0414","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","27217","CPT09","rv"
"G0414","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","27217","CPT09","rv"
"G0415","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,,4.00,"090","27218","CPT09","rv"
"G0415","RUC","Kit, Pack, Tray","SA054","pack, post-op incision care (suture)","pack",4.90,,1.00,"090","27218","CPT09","rv"
"G0420","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,1.00,0.00,"XXX",,"CMS10",
"G0420","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"CMS10",
"G0420","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,0.00,"XXX",,"CMS10",
"G0421","RUC","Office Supply, Grocery","SK043","label for files-folders","item",0.08,0.50,0.00,"XXX",,"CMS10",
"G0421","RUC","Office Supply, Grocery","SK057","paper, laser printing (each sheet)","item",5.0e-03,2.00,0.00,"XXX",,"CMS10",
"G0421","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.20,0.00,"XXX",,"CMS10",
"G0424","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,,"XXX",,"CMS10",
"G0429","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,0.00,"000","11951","CPT11",
"G0429","RUC","Gown, Drape","SB024","gloves, sterile","pair",0.84,1.00,0.00,"000","11951","CPT11",
"G0429","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,1.00,0.00,"000","11951","CPT11",
"G0429","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,0.00,"000","11951","CPT11",
"G0436","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT11",
"G0437","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,1.00,,"XXX",,"CPT11",
"G0438","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX","99204","CPT11",
"G0438","RUC","Office Supply, Grocery","SK100","preventive assessment forms","item",3.00,1.00,,"XXX","G0402","CPT11",
"G0439","RUC","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX","99214","CPT11",
"G0439","RUC","Office Supply, Grocery","SK100","preventive assessment forms","item",3.00,1.00,,"XXX","99214","CPT11",
"G0442","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX",,,
"G0443","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX",,,
"G0444","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX",,,
"G0445","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX",,,
"G0446","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX",,,
"G0447","RUC","Office Supply, Grocery","SK062","patient education booklet","item",1.55,0.50,0.00,"XXX",,,
"G0451","RUC","Office Supply, Grocery","SK001","ages & stages questionnaire","item",0.40,1.00,0.00,"XXX","96110","CPT12",
"G9001","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9002","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9003","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9004","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9005","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9006","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9007","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9008","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9009","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9010","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9011","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9012","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G9016","RUC","NO DETAILS","SX006","EXCLUDED BY LAW",,,,,"XXX",,,
"G0455","CMS","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Gown, Drape","SB022","gloves, non-sterile","pair",0.08,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Gown, Drape","SB027","gown, staff, impervious","item",1.18,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Gown, Drape","SB033","mask, surgical","item",0.19,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Hypodermic, IV","SC056","syringe 50-60ml","item",0.88,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Accessory, Procedure","SD277","polypropelene funnel","item",0.30,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Lab","SL018","beaker, 250 ml","item",0.85,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Lab","SL020","bleach","ml",1.0e-03,300.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Lab","SL066","filter, nylon mesh (55mm)","item",0.56,1.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Lab","SL107","phosphate buffered saline solution","ml",0.04,50.00,,"XXX",,"CPT13","May 17"
"G0455","CMS","Infection Control","SM016","eye shield, splash protection","item",1.47,1.00,,"XXX",,"CPT13","May 17"
"M0064","RUC","NO DETAILS","SX007","NO SUPPLIES",,,,,"XXX",,,
"P3001","RUC","Gown, Drape","SB023","gloves, non-sterile, nitrile","pair",0.18,1.00,,"XXX",,,
"P3001","RUC","Accessory, Procedure","SD040","cytology, brush","item",0.20,1.00,,"XXX",,,
"P3001","RUC","Lab","SL026","clearing agent (Histo-clear)","ml",8.0e-03,4.00,,"XXX",,,
"P3001","RUC","Lab","SL030","cover slip, glass","item",0.07,1.00,,"XXX",,,
"P3001","RUC","Lab","SL035","cup, biopsy-specimen non-sterile 4oz","item",0.08,1.00,,"XXX",,,
"P3001","RUC","Lab","SL071","fixative spray","ml",0.04,1.00,,"XXX",,,
"P3001","RUC","Lab","SL085","label for microscope slides","item",0.02,1.00,,"XXX",,,
"P3001","RUC","Lab","SL095","mounting media (Histomount)","ml",0.03,0.60,,"XXX",,,
"P3001","RUC","Lab","SL122","slide, microscope","item",0.05,1.00,,"XXX",,,
"P3001","RUC","Lab","SL137","stain, PAP EA-50","ml",0.03,3.00,,"XXX",,,
"Q0035","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,10.00,,"XXX","93000",,
"Q0035","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,2.00,,"XXX","93000",,
"Q0035","RUC","Office Supply, Grocery","SK059","paper, recording (per sheet)","item",0.06,4.00,,"XXX","93000",,
"Q0091","RUC","Gown, Drape","SB026","gown, patient","item",0.53,1.00,,"XXX",,,
"Q0091","RUC","Gown, Drape","SB036","paper, exam table","foot",0.01,7.00,,"XXX",,,
"Q0092","RUC","NO DETAILS","SX007","NO SUPPLIES",,,0.00,,"XXX",,,
"R0070","RUC",,,,,,,,,,,
"R0075","RUC","Kit, Pack, Tray","SA053","pack, post-op incision care (suture & staple)","pack",6.11,,,,,,
"R0076","RUC","NO DETAILS","SX002","BUNDLED",,,0.00,,"XXX",,,
"99495","CMS","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,"CPT13","CMS"
"99496","CMS","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,"CPT13","CMS"
"95924","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Gown, Drape","SB006","drape, non-sterile, sheet 40in x 60in","item",0.22,1.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Accessory, Procedure","SD053","electrode, ECG (single)","item",0.09,6.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Accessory, Procedure","SD099","mouthpiece, respiratory","item",0.21,1.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Wound Care, Dressings","SG055","gauze, sterile 4in x 4in","item",0.15,2.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Wound Care, Dressings","SG079","tape, surgical paper 1in (Micropore)","inch",2.0e-03,6.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Pharmacy, NonRx","SJ020","electrode conductive gel","ml",0.01,5.00,,"XXX",,"CPT13","May 37"
"95924","RUC","Pharmacy, NonRx","SJ053","swab-pad, alcohol","item",0.01,2.00,,"XXX",,"CPT13","May 37"
"90832","CMS","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,,"XXX",,"CPT13","CMS"
"90834","CMS","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,,"XXX",,"CPT13","CMS"
"90837","CMS","Office Supply, Grocery","SK005","assessment monitoring instruments","item",0.13,1.00,,"XXX",,"CPT13","CMS"
"99488","CMS","Kit, Pack, Tray","SA047","pack, EM visit","pack",2.98,1.00,,"XXX",,"CPT13","CMS"
"65800","RUC","Lab","SL032","culture media","ml",0.01,4.00,,"000",,"CPT13","May 20"
"65800","RUC","Lab","SL238","slide, glass, (plain blank slide)","item",0.28,2.00,,"000",,"CPT13","May 20"
"92081","RUC","Accessory, Procedure","SD103","occluder, clip-on","item",1.44,1.00,,"XXX",,"CPT13","May 52"
"92082","RUC","Accessory, Procedure","SD103","occluder, clip-on","item",1.44,1.00,,"XXX",,"CPT13","May 52"
"13121","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"13131","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"13132","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"13150","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"13151","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"13152","RUC","Cutters, Closures, Cautery","SF016","cautery, monopolar, electrode tip","item",0.41,1.00,,"010",,"CPT13","May 41"
"32555","RUC","Kit, Pack, Tray","SA077","kit, pleural catheter insertion","kit",329.00,1.00,,"000",,"CPT13","May 8"
"74160","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT13","May 49"
"76872","RUC","Kit, Pack, Tray","SA048","pack, minimum multi-specialty visit","pack",1.14,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Gown, Drape","SB005","cover-condom, transducer or ultrasound probe","item",0.35,1.00,,"XXX",,"CPT13","May 50"
"76872","RUC","Hypodermic, IV","SC051","syringe 10-12ml","item",0.18,1.00,,"XXX",,"CPT13","May 50"
"74170","RUC","Wound Care, Dressings","SG050","gauze, non-sterile 2in x 2in","item",0.01,1.00,,"XXX",,"CPT13","May 49"
